Individual
MARY DAMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7390
(989) 356-8013
Mailing address
8147 US HIGHWAY 23 S, OSSINEKE, MI 49766-9559
(989) 356-8013
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704147757
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4139152
—
MI
Enumeration date
09/26/2006
Last updated
07/08/2007
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