# CAROL CZUK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831184605
- **Gender:** F
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704133044 | MI | Yes |

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4960089 | — | MI |
| 01 | — | 5008769570 | BLUE CROSS PIN | MI |
| 01 | — | P00382884 | RR MEDICARE | — |