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Individual

MRS. CHERYL A NOWACKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1101 W UNIVERSITY DR, ROCHESTER, MI 48307-1863
(248) 652-5354
(248) 652-5861
Mailing address
4029 WINCREST LN, ROCHESTER, MI 48306-4770
(248) 475-0967

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704144391
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11910654
CAQH
05
4090418
MI
01
430F364550
BCBS
MI
Enumeration date
01/19/2007
Last updated
03/14/2012
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