Individual
PATRICIA MASLYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(248) 258-5058
Mailing address
2485 WILDBROOK RUN, BLOOMFIELD HILLS, MI 48304-1445
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4704109569
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
6504
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104583475
—
MI
Enumeration date
04/25/2006
Last updated
03/19/2021
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