Lisa M Wodtke, CRNA
Lisa M Wodtke, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Warren, Michigan. Qualified in 1993, 33 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group. Licensed in Michigan.
- Years since qualifying
- 33
- Licensed in
- MI
- In the registry since
- 2007
What do these letters mean?
- CRNA — Certified Registered Nurse Anesthetist
- An advanced practice nurse who administers anaesthesia.
Practice location Address checks out
11800 E 12 Mile RdWarren, MI 48093-3472
Phone: (586) 573-5260
Fax: (586) 573-5364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 4704163773 (MI) |
|---|
Record details
| NPI number | 1962569152 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRNA |
| Sole proprietor | No |
| NPI enumerated | January 3, 2007 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 1993 (33 years in practice) |
| Group practice | Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians |
| Accepts Medicare assignment | Not indicated |
Other providers in Warren
-
Toleka Regina Taylor, CRNA
St John Macomb Hospital 11800 East 12 Mile Rd, Warren, MI 48093 · (586) 576-4031
-
Caroline G Typkiewicz, CRNA
13355 E 10 Mile Rd, Warren, MI 48089-2048 · (586) 759-7480
-
David J Van Dam, CRNA
11800 E 12 Mile Rd, Warren, MI 48093-3472 · (586) 573-5260
-
Mr. Naeam Wilkerson, CRNA
11800 E 12 Mile Rd, Warren, MI 48093-3472 · (586) 573-5261
-
Elaine P Wynter, CRNA
11800 E 12 Mile Rd, Warren, MI 48093-3472 · (586) 573-5260