Individual
KRISTIN ZAWACKI KONSCHUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
1401 WISTERIA DR, ANN ARBOR, MI 48104-4643
(248) 345-5410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704273430
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704273430
MI
Other
Enumeration date
11/11/2015
Last updated
03/02/2016
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