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NPI Code Detail

MEDICARE: DAVID R. MARKIEWICZ CRNA

MEDICARE: DAVID R. MARKIEWICZ 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 Anesthetist4704228699MI

General Provider Information

NPI Number : 1417918632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID R. MARKIEWICZ CRNA
Provider Business Mailing Address
First Line : 1701 SOUTH BLVD E STE 300
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-6120
Country : US
Telephone Number : 586-493-8747
Fax Number : 586-493-8741
Provider Business Practice Location Address
First Line : 1701 SOUTH BLVD E STE 300
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-6120
Country : US
Telephone Number : 586-493-8747
Fax Number : 586-493-8741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 12/17/2025

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