Individual
CAROL CZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2690 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-3002
(269) 428-2800
Mailing address
200 W ROCKEY WEED RD, STEVENSVILLE, MI 49127-9422
(269) 429-5569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704133044
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4960089
—
MI
01
—
5008769570
BLUE CROSS PIN
MI
01
—
P00382884
RR MEDICARE
—
Enumeration date
09/16/2005
Last updated
03/07/2023
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