Individual
MICHAEL E WORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2708
(906) 225-3094
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704216785
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104441649
—
MI
01
—
430077978
RAILROAD MEDICARE PIN
MI
01
—
MW216785
BLUESHIELD PIN
MI
Enumeration date
11/17/2005
Last updated
05/07/2019
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