Roger Jack Pell, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Pontiac, MI

NPI

1780757351

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

4704155121 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-15

Last updated

2013-02-04