ANTHONY WENDELL MARCUKAITIS

FORT POLK, LA
NPI1063514438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704215056)
Enumeration Date2006-09-05
Last Update Date2021-11-02
Business Address
ANTHONY WENDELL MARCUKAITIS CRNA
1585 THIRD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3517
Mailing Address
ANTHONY WENDELL MARCUKAITIS CRNA
8350 JOY RD
KALEVA, MI 49645-9686
Phone number: 517-974-3236
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