Individual
MR. EDMOND JOSEPH REYNOLDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3840
Mailing address
2062 BENT TRAIL CT, ANN ARBOR, MI 48108-9301
(734) 741-8385
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704134003
MI
Other
Enumeration date
03/25/2006
Last updated
07/08/2007
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