Individual
ANASTASIA A GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(810) 753-0185
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704147613
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0801
AZ
Other
Enumeration date
08/03/2006
Last updated
09/22/2015
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