MARY WALCZYK

DETROIT, MI
NPI1457346587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704164881)
Enumeration Date2005-09-14
Last Update Date2007-07-08
Business Address
-- MARY WALCZYK CRNA
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 952-442-9770
Mailing Address
-- MARY WALCZYK CRNA
PO BOX 67000 DEPT 203401
DETROIT, MI 48267-0002
Phone number: 952-442-9770