Individual
MR. GREGORY J MAKUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5118
(717) 782-5854
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN514477L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076138
PA LICENSE
PA
01
—
MS1942927
HIGHMARK BS
PA
Enumeration date
12/01/2006
Last updated
01/28/2021
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