| Thaddeus F Juszczak, CRNA | |
|
701 S Health Pkwy, Three Rivers, MI 49093-8352 | |
| (269) 278-1145 | |
| (269) 273-9611 |
| Full Name | Thaddeus F Juszczak |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 701 S Health Pkwy, Three Rivers, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871548222 | NPI | - | NPPES |
| 4893487-10 | Medicaid | MI | |
| 700G560080 | Other | MI | BCBS GROUP-THREE RIVERS HEALTH |
| 0G51062 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704106613 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thaddeus F Juszczak, CRNA 701 S Health Pkwy, Medical Staff Office, Three Rivers, MI 49093-8352 Ph: (269) 273-9789 | Thaddeus F Juszczak, CRNA 701 S Health Pkwy, Three Rivers, MI 49093-8352 Ph: (269) 278-1145 |
Michael Pulford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-278-1145 Fax: 269-273-9611 |