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General NPI Number Information
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NPI Number | 1518052380
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Entity Type | Organization
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Legal Business Name | CUKROWSKI SURGERY CENTER PC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 701 S BALLENGER HWY
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City | FLINT
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State | MI
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Zip | 48532-3804
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Country | US
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Telephone | 810-238-3603
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Fax | 810-767-5194
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Provider Business Mailing Address
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Address Line | 701 S BALLENGER HWY
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City | FLINT
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State | MI
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Zip | 48532-3804
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Country | US
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Telephone | 810-238-3603
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Fax | 810-767-5194
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER F CUKROWSKI
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Credential | DO
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Telephone | 810-238-3603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 256815
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License Number State | MI
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