Individual
JERRY ROBERT JURECIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 225-3035
(906) 225-3697
Mailing address
755 S VANDENBOOM RD, MARQUETTE, MI 49855-9455
(906) 362-3312
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704269918
MI
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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