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NPI Code Detail

MEDICARE: MRS. PATRICE ZURDOSKY CRNA

MEDICARE: MRS. PATRICE ZURDOSKY CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist4704163809MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2PZ163809OTHERMIBLUE CROSS OF MI
311911392OTHERCAQH

General Provider Information

NPI Number : 1407813033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICE ZURDOSKY CRNA
Provider Business Mailing Address
First Line : 1101 W UNIVERSITY DR
Second Line :
City : ROCHESTER
State : MI
Zip : 48307-1863
Country : US
Telephone Number : 248-652-5354
Fax Number : 248-652-5861
Provider Business Practice Location Address
First Line : 1101 W UNIVERSITY DR
Second Line :
City : ROCHESTER
State : MI
Zip : 48307-1863
Country : US
Telephone Number : 248-652-5354
Fax Number : 248-652-5861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 03/12/2012

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Directions to “ MRS. PATRICE ZURDOSKY CRNA” Practice Location

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