Pennie Marie Marko CRNA

NPI 1043556442 - Registered Nurse - 163W00000X

NPI Details
NPI 1043556442
Gender Female
Enumeration Date 12/13/2012
Last Updated 06/05/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
2025 HUNT CLUB DR
GROSSE POINTE WOODS MI, 48236-1703, US
Phone (586) 292-2943
Fax
Business Location
2025 HUNT CLUB DR
GROSSE POINTE WOODS MI, 48236-1703, US
Phone (586) 292-2943
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Michigan
License Number 4704266251
Remove 1043556442 NPI Number
 

According to our database, Mrs. Pennie Marie Marko CRNA NPI is 1043556442, taxonomy code is 163W00000X and license number is 4704266251, license state is located at Michigan. Pennie Marie Marko CRNA physically located at 2025 Hunt Club Dr, Grosse Pointe Woods MI, 48236-1703. NPI Number Pennie Marie Marko CRNA has the Individual type.

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1043556442 NPI number is provided on an as is basis without warranty of any kind. 1043556442 is maintained by the National Plan & Provider Enumeration System. The contents of Pennie Marie Marko CRNA are for informational purposes only.