THOMAS JAKUBCZAK

DETROIT, MI
NPI1477561629
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704144957)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
-- THOMAS JAKUBCZAK CRNA
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 952-442-9770
Mailing Address
-- THOMAS JAKUBCZAK CRNA
PO BOX 67000 DEPT 203401
DETROIT, MI 48267-0002
Phone number: 952-442-9770
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