Individual
MATTHEW AARON JUCKNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 N SQUIRREL RD, ROCHESTER, MI 48309-4401
(248) 370-2100
Mailing address
2200 N SQUIRREL RD, ROCHESTER, MI 48309-4401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704363065
MI
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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