Individual
FATIN BADRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15500 LUNDY PKWY, DEARBORN, MI 48126-2778
(313) 586-5364
Mailing address
49977 ASH CT, PLYMOUTH, MI 48170-6380
(313) 258-7126
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704290473
MI
Other
Enumeration date
01/21/2017
Last updated
01/21/2017
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