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Individual

TANYA MARIE REALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-0000
Mailing address
830 MAPLEKNOLL AVE, MADISON HEIGHTS, MI 48071-2954
(248) 217-9589

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704237786
MI

Other

Enumeration date
02/25/2013
Last updated
02/25/2013
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