Individual
MS. MARIA ELENA MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4646 JOHN R, DETROIT, MI 48201
(313) 576-1000
Mailing address
2929 SHIRLEY ST, MILFORD, MI 48380-2244
(248) 685-0609
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704220795
MI
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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