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MS. MERCEDES KATHERINE BROUSSEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3990 JOHN R, HARPER UNIVERSITY HOSPITAL, DETROIT, MI 48201
(313) 745-8521
Mailing address
6371 NORTH MAPLE ROAD, SALINE, MI 48176
(734) 429-4483

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704134307
MI

Other

Enumeration date
11/29/2006
Last updated
07/08/2007
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