Individual
SCOTT DANIEL FYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 987-5000
Mailing address
3204 STRAWBERRY LN, PORT HURON, MI 48060-2306
(810) 334-4871
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704306144
MI
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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