Individual
MRS. PENNIE MARIE MARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2025 HUNT CLUB DR, GROSSE POINTE WOODS, MI 48236-1703
(586) 292-2943
Mailing address
2025 HUNT CLUB DR, GROSSE POINTE WOODS, MI 48236-1703
(586) 292-2943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704266251
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704266251
MI
Other
Enumeration date
12/13/2012
Last updated
06/05/2014
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