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Jennifer C Gherasim, CRNA

Nurse Anesthetist, Certified Registered in Detroit, MI. Individual provider (NPI-1).

NPI number1174833503
StatusActive
Last updated in NPPESOct 19, 2010

Details

NPI
1174833503
Entity type
Individual (NPI-1)
Name
Jennifer C Gherasim
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2010
Last updated
Oct 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered4704254836MIYes

Practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Phone 313-745-3607

Mailing address

Po Box 67000 Dept 203401
Detroit, MI 48267-0001

Phone 952-442-9770 · Fax 952-442-3620

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