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ELLICE CLARK
Certified Registered Nurse Anesthetist
NPI: 1679287395Individual
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
4704345479(MI)
Certified Registered Nurse AnesthetistPrimary
Nurse Anesthetist, Certified Registered
Code: 367500000X
4704345479(MI)
CMS Specialties
PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Education
OTHER
Class of 2024
Contact & Hours
- Address
- 4001 W MCNICHOLS RD
DETROIT, MI 48221 - Phone
- (313) 993-1245
Quick Facts
- NPI
- 1679287395
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 2
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