Doctor Name: | MRS. MARGARET ELIZABETH KUCZYNSKI |
NPI Number: | 1124364641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 4704267227 |
Business Practice Address: | 17901 Hall Rd Macomb, MI - 480444557 |
Business Phone Number: | 5864120900 |
Business Fax Number: | 5864129762 |
Mailing Address: | 36509 Saint Clair Dr, NEW BALTIMORE |
State: | MI |
Postal Code: | 480475562 |
Phone Number: | 5862928506 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2013 |
NPI Last Update Date: | 01/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704267227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |