Individual
LOUIS A DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1355
(906) 483-1320
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1355
(906) 483-1320
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704198288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C16002
MEDICARE GROUP PTAN
MI
Enumeration date
08/16/2012
Last updated
10/01/2012
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