Individual
JASON H KRUPSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
790 KENSINGTON LN, BLOOMFIELD HILLS, MI 48304-3744
(734) 241-3891
(734) 241-0014
Mailing address
68378 LAKE ANGELA DRIVE, RICHMOND, MI 48062
(586) 727-3364
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704205427
MI
Other
Enumeration date
01/13/2006
Last updated
07/09/2007
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