Individual
TERI S KUFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5103
(313) 295-5363
Mailing address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5103
(313) 295-5363
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704128093
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4311368
—
MI
05
—
4415540
—
MI
Enumeration date
09/15/2006
Last updated
07/08/2007
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