Mutz, Marina

Mutz, Marina is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 78073-6769. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mutz, Marina can be contacted via phone (248) 423-3144.

Contact Information

Primary practice address
3601 W 13 Mile Rd Royal Oak MI 78073-6769
Phone: (248) 423-3144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704172268 Michigan

Profile Details

NPI number 1902872849
LBN Legal business name Mutz, Marina
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Sep 17th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902872849 NPPES
Michigan MEDICAID 4337758
Michigan Other 430F364420

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