Individual
MRS. BLANKA JUCHELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2799 WEST GRAND BOULEVARD, DETROIT, MI 48202-2689
(313) 916-8634
Mailing address
15 E KIRBY ST, #810, DETROIT, MI 48202-4047
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704255687
MI
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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