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ELLICE CLARK

Certified Registered Nurse Anesthetist

NPI: 1679287395Individual

Specialties, Licenses & Credentials

Registered Nurse

Code: 163W00000X

4704345479(MI)

Nurse Anesthetist, Certified Registered

Code: 367500000X

4704345479(MI)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 2024

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Contact & Hours

Address
4001 W MCNICHOLS RD
DETROIT, MI 48221

Quick Facts

NPI
1679287395
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1
Years in Practice
2

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