Individual
KIRK ARTHUR POENICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3840
Mailing address
2743 SPIELMAN HEIGHTS DR, ADRIAN, MI 49221-9276
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704130693
MI
Other
Enumeration date
03/29/2006
Last updated
08/05/2010
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