Mr. Andrew Joseph Proctor
Mr. Andrew Joseph Proctor is a Certified Registered Nurse Anesthetist (CRNA) in Canton, Michigan. Qualified in 2016, 10 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group. Licensed in Michigan.
- Years since qualifying
- 10
- Licensed in
- MI
- In the registry since
- 2017
Practice location Address checks out
800 Pheasant Woods DrCanton, MI 48188-5224
Phone: (734) 812-1311
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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 4704267973 (MI) |
|---|
Record details
| NPI number | 1952841637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 1, 2017 |
| Last updated in NPPES | March 1, 2017 |
| Mailing address | 800 Pheasant Woods Dr, Canton, MI 48188-5224 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |