Individual
GWEN MICHELLE DUKATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-0000
Mailing address
1131 SHENANDOAH DR, CLAWSON, MI 48017-1068
(248) 439-0468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704295844
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704295844
MI
Other
Enumeration date
05/26/2021
Last updated
02/08/2023
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