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NPI Code Detail

MEDICARE: MADISON PURZYCKI CRNA

MEDICARE: MADISON PURZYCKI 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
1207L00000XAnesthesiology Physician1000179CO
2367500000XCertified Registered Nurse AnesthetistAPN.1000179-CRNACO
3163W00000XRegistered Nurse4704329710MI

General Provider Information

NPI Number : 1588332274
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON PURZYCKI CRNA
Provider Business Mailing Address
First Line : 1865 DELL ROSE DR
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0115
Country : US
Telephone Number : 248-342-4504
Fax Number :
Provider Business Practice Location Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4597
Country : US
Telephone Number : 303-436-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2021
Last Update Date : 04/23/2026

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Directions to “ MADISON PURZYCKI CRNA” Practice Location

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