| Mr Justin Richard Walukonis, CRNA | |
|
5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | |
| (734) 712-3456 | |
| Not Available |
| Full Name | Mr Justin Richard Walukonis |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5301 Mcauley Dr, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790498582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704322121 (Michigan) | Primary |
| 163W00000X | Registered Nurse | 4704322121 (Michigan) | Secondary |
| Entity Name | Sjmhs Anesthesia Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215026281 PECOS PAC ID: 7416053483 Enrollment ID: O20070508000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Richard Walukonis, CRNA 739 Meadowlake Rd, Canton, MI 48188-1591 Ph: (248) 933-2192 | Mr Justin Richard Walukonis, CRNA 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 Ph: (734) 712-3456 |
Aaron Maraugha, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 | |
Mrs. Martha Ann Leveque, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3840 | |
Heather Popoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 | |
Mrs. Linda Marie Myers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3840 | |
Jamal Makled, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 313-258-3500 | |
Caroline Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-9456 | |
Paul David Glaza, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Drive, Ypsilanti, MI 48197 Phone: 734-712-3456 |