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NPI Code Detail

MEDICARE: STEFAN TITIANU

MEDICARE: STEFAN TITIANU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse2457935MI
2367500000XCertified Registered Nurse Anesthetist889913NY

General Provider Information

NPI Number : 1821723701
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFAN TITIANU
Provider Business Mailing Address
First Line : 1355 BOGUE ST
Second Line :
City : EAST LANSING
State : MI
Zip : 48824-6207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1355 BOGUE ST
Second Line :
City : EAST LANSING
State : MI
Zip : 48824-6207
Country : US
Telephone Number : 586-872-1771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2022
Last Update Date : 07/18/2023

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Directions to “ STEFAN TITIANU ” Practice Location

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