Individual
ELEANOR ELIZABETH BLOUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 392-5141
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704247682
MI
Other
Enumeration date
06/12/2006
Last updated
10/23/2007
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