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Individual

MARJORIE J POKORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3409 LUDINGTON ST, WIC SUITE 100, ESCANABA, MI 49829-4212
(906) 786-5707
(906) 789-4406
Mailing address
3409 LUDINGTON ST, WIC SUITE 100, ESCANABA, MI 49829-4212
(906) 786-5707
(906) 789-4406

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
096352
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4967633
MI
01
5008764870
BLUE CROSS BLUE SHIELD
MI
01
P00187676
RAILROAD MEDICARE
Enumeration date
09/29/2006
Last updated
09/09/2009
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