Most Relevant Information
Provider Data
| NPI Number: | 1003178377 |
| Provider Name: | PAUL RICHARD EMMONS CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 4704260929 |
Most Important Dates
| Enumeration Date: | 06/13/2012 |
| Last Updated: | 11/03/2023 |
Provider Practice Location
5450 FORT ST
TRENTON
MI
481834601
Practice Location Phone/Fax
| Phone: | 7346713800 |
| Fax: |
Provider Mailing Location
1865 BALDWIN CT
TRENTON
MI
481831908
Provider Mailing Phone/Fax
| Phone: | 7343066953 |
| Fax: |