Individual
SANDRA F GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
602 JACKSON ST, PETOSKEY, MI 49770-2220
(231) 348-2795
(231) 348-2031
Mailing address
602 JACKSON ST, PETOSKEY, MI 49770-2220
(231) 348-2795
(231) 348-2031
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704106278
MI
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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