Individual
ANN-MARIE KROLL-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(313) 258-5058
Mailing address
20228 NEWMAN DR, BROWNSTOWN TWP, MI 48183-5033
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704215485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104856910
—
MI
Enumeration date
05/18/2006
Last updated
10/28/2011
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