Individual
CARIDANIELLE ZUKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 774-7870
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704319706
MI
Other
Enumeration date
07/07/2016
Last updated
10/02/2025
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