Individual
MS. DIANE MARIE POKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 612-4446
Mailing address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 612-4446
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704262296
MI
Other
Enumeration date
02/10/2012
Last updated
02/14/2012
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