Individual
ANDREW JAMES JACKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
39005 WILLOW CREEK PKWY, WESTLAND, MI 48185-3826
(734) 755-0268
Mailing address
39005 WILLOW CREEK PKWY, WESTLAND, MI 48185-3826
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704274813
MI
Other
Enumeration date
01/10/2018
Last updated
06/26/2021
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