Individual
JOHN E KUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 228-9440
Mailing address
2861 NORTHCREST DR, MARQUETTE, MI 49855-8863
(906) 226-3886
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704232145
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104865811
—
MI
01
—
JK075209
BLUESHIELD PIN
MI
Enumeration date
10/20/2006
Last updated
04/22/2008
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