Individual provider · Type 1 NPI

Kristopher Michael Matelic, CRNA

Certified Registered Nurse Anesthetist · Detroit, MI

NPI number 1407243835 Active

Practice location

3990 John R St
Detroit, MI 48201-2018

Mailing address

4106 Merrick St
Dearborn Heights, MI 48125-2854

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704270927 (MI)
Certified Registered Nurse Anesthetist 367500000X240691 (AK)
Certified Registered Nurse Anesthetist Primary 367500000X4704270927 (MI)

Certified Registered Nurse Anesthetist: (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 creden…

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About NPI 1407243835

Kristopher Michael Matelic, CRNA's National Provider Identifier is 1407243835, issued on Apr 23, 2015. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Detroit, MI. The record was last updated on Jul 29, 2025.