Colin Christian Knudsen, CRNA | |
22101 Moross Rd, Detroit, MI 48236-2148 | |
(313) 343-4000 | |
Not Available |
Full Name | Colin Christian Knudsen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 22101 Moross Rd, Detroit, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609324847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704281224 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St John Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension St John Hospital | 3173424082 | 279 |
Entity Name | Ascension St John Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598896995 PECOS PAC ID: 3173424082 Enrollment ID: O20040130000407 |
Mailing Address | Practice Location Address |
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Colin Christian Knudsen, CRNA 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-4000 | Colin Christian Knudsen, CRNA 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-4000 |
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