Individual
ROGER JACK PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
50 N PERRY ST, DEPARTMENT OF ANESTHESIA ATTN KAREN SANDERSON, PONTIAC, MI 48342-2217
(248) 338-5442
Mailing address
5833 ROWLEY BLVD, WATERFORD, MI 48329-2217
(248) 674-0501
(248) 674-0501
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704155121
MI
Other
Enumeration date
11/15/2006
Last updated
02/04/2013
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