Individual
ANNE STUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TWP, MI 48382-2201
(248) 937-3307
Mailing address
PO BOX 67000, DEPT 203401, DETROIT, MI 48267-0002
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704174048
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS174040
BLUE CROSS OF MI
MI
Enumeration date
01/12/2006
Last updated
07/08/2007
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