BRENT ZUKOFF

GRAND RAPIDS, MI
NPI1053772434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704318213)
Enumeration Date2016-03-14
Last Update Date2016-03-14
Business Address
Mr. BRENT ZUKOFF CRNA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1774
Mailing Address
Mr. BRENT ZUKOFF CRNA
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9493
Phone number: 616-364-4200