Individual
MR. MAXWELL EDEM DOGBATSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
Mailing address
44717 FENWICK DR, CANTON, MI 48188-3245
(313) 633-4499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704292537
MI
Other
Enumeration date
08/02/2017
Last updated
12/29/2023
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