Individual
MRS. JUDITH ANN KASZYCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITONER
Contact information
Practice address
3532 MAIN ST, DECKERVILLE, MI 48427-9615
(810) 376-3100
(810) 376-8311
Mailing address
3532 MAIN ST, DECKERVILLE, MI 48427-9615
(810) 376-3100
(810) 376-8311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704103116
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18073
—
MI
Enumeration date
07/18/2006
Last updated
07/17/2007
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