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Julie Staczek-Marx, CRNA

Nurse Anesthetist, Certified Registered in Bingham Farms, MI. Individual provider (NPI-1).

NPI number1235196643
StatusActive
Last updated in NPPESJul 19, 2017

Details

NPI
1235196643
Entity type
Individual (NPI-1)
Name
Julie Staczek-Marx
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 28, 2006
Last updated
Jul 19, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered4704192607MIYes

Practice location

30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502

Phone 248-258-5058

Mailing address

1830 Marie Cir
Bloomfield Hills, MI 48302-0747

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