Individual
HEATHER A GURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14311 JACKSON ST, TAYLOR, MI 48180-4745
(734) 365-1220
Mailing address
14311 JACKSON ST, TAYLOR, MI 48180-4745
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704237613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12508276
CAQH
—
Enumeration date
02/06/2013
Last updated
04/05/2024
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