Thaddeus F Juszczak, CRNA | |
701 S Health Pkwy, Three Rivers, MI 49093-8352 | |
(269) 278-1145 | |
(269) 273-9611 |
Full Name | Thaddeus F Juszczak |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 701 S Health Pkwy, Three Rivers, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871548222 | NPI | - | NPPES |
4893487-10 | Medicaid | MI | |
700G560080 | Other | MI | BCBS GROUP-THREE RIVERS HEALTH |
0G51062 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704106613 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Thaddeus F Juszczak, CRNA 701 S Health Pkwy, Medical Staff Office, Three Rivers, MI 49093-8352 Ph: (269) 273-9789 | Thaddeus F Juszczak, CRNA 701 S Health Pkwy, Three Rivers, MI 49093-8352 Ph: (269) 278-1145 |
Michael Pulford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-278-1145 Fax: 269-273-9611 |