Individual
CALEISA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
40315 MICHIGAN AVE # 1139, CANTON, MI 48188-2908
(313) 717-3384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704306977
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704306977
MI
Other
Enumeration date
06/04/2024
Last updated
09/30/2025
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