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Individual
SUSAN ANNE NIZNAK
Active
Individual
SUSAN ANNE NIZNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704152511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598734105
—
MI
01
—
4308658830
BCBS
MI
01
—
P00836688
RAILROAD MEDICARE
MI
Enumeration date
06/02/2006
Last updated
11/04/2015
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