Individual
JOHN HIPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22401 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3724
(248) 561-3095
Mailing address
30160 MANOR DR, MADISON HEIGHTS, MI 48071-2294
(248) 561-3095
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704295301
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11000298
FL
Other
Enumeration date
06/11/2017
Last updated
12/20/2018
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