Individual
MRS. ANGELA RAE WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 642-9809
Mailing address
1017 CADIEUX RD, GROSSE POINTE PARK, MI 48230-1511
(313) 417-0367
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704246690
MI
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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