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Lisa M Wodtke, CRNA
Certified Registered Nurse Anesthetist in Warren, Michigan
NPI 1962569152

Lisa M Wodtke is a Certified Registered Nurse Anesthetist based in Warren, MI. Lisa M Wodtke practices in Warren, MI and has the professional credentials of CRNA. The NPI Number for Lisa M Wodtke is 1962569152 and holds a License No. 4704163773 (Michigan).

The current practice location address for Lisa M Wodtke is 11800 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-573-5260 and via fax at 586-573-5364.

Location: 11800 E 12 Mile Rd, Warren, MI, 48093-3472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962569152
Provider Name
Lisa M Wodtke
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
11800 E 12 Mile Rd, Warren, MI, 48093-3472
Phone Number
586-573-5260
Fax Number
586-573-5364
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3153030 05 MI
institution
Provider Business Practice Location Address Details
Address
11800 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3472
Phone Number
586-573-5260
Fax Number
586-573-5364
person
Provider Business Mailing Address Details
Address
11800 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3472
Phone Number
586-573-5260
Fax Number
586-573-5364
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
4704163773 (Michigan)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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