Individual
SUZETTE M SMIERCIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Mailing address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28161346A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000578943
ANTHEM BCBS
IN
05
—
200925180
—
IN
01
—
9966194
AETNA
IN
01
—
P00659845
MEDICARE RAILROAD
IN
Enumeration date
08/14/2008
Last updated
05/19/2010
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