Individual
JOSEPH CRAIG KIESZNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3000
Mailing address
19600 INKSTER RD, ROMULUS, MI 48174-9471
(734) 925-6462
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704289945
MI
Other
Enumeration date
10/03/2016
Last updated
03/17/2018
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