Provider Demographics
NPI:1609357599
Name:GURCZYNSKI, PAUL STEVEN (CNP)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:STEVEN
Last Name:GURCZYNSKI
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9571 LAZY OAK DR
Mailing Address - Street 2:
Mailing Address - City:CARLETON
Mailing Address - State:MI
Mailing Address - Zip Code:48117-9629
Mailing Address - Country:US
Mailing Address - Phone:734-341-8072
Mailing Address - Fax:
Practice Address - Street 1:9571 LAZY OAK DR
Practice Address - Street 2:
Practice Address - City:CARLETON
Practice Address - State:MI
Practice Address - Zip Code:48117-9629
Practice Address - Country:US
Practice Address - Phone:734-341-8072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.023356363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health