MARK STEVAN MANCZUK

COLUMBIA, SC
NPI1386758928
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  2422)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
MR. MARK STEVAN MANCZUK CRNA
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Mailing Address
MR. MARK STEVAN MANCZUK CRNA
2 GRANVILLE RD
COLUMBIA, SC 29209-2236
Phone number: 803-783-9798