Most Relevant Information
Provider Data
NPI Number: | 1003451170 |
Provider Name: | TIMOTHY TURNER CRNA |
Entity Type: | Individual |
Taxonomy Code: | 367500000X |
Specialty: | Nurse Anesthetist, Certified Registered |
License Number: | 4704239024 |
Most Important Dates
Enumeration Date: | 11/13/2019 |
Last Updated: | 10/12/2023 |
Provider Practice Location
2799 W GRAND BLVD
DETROIT
MI
482022689
Practice Location Phone/Fax
Phone: | 3139168078 |
Fax: |
Provider Mailing Location
2799 W GRAND BLVD FL 3
DETROIT
MI
482022689
Provider Mailing Phone/Fax
Phone: | 3139168078 |
Fax: |