Individual
ELLEN GURECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 LAURENCE AVE, JACKSON, MI 49202-2979
(517) 750-4777
Mailing address
2365 HOWELL RD, WILLIAMSTON, MI 48895-9686
(517) 749-3983
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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