Provider Demographics
NPI:1316708134
Name:KURZNER, MARIE HELENE BOUDREAU (PA)
Entity type:Individual
Prefix:
First Name:MARIE HELENE
Middle Name:BOUDREAU
Last Name:KURZNER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2009 W MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-4010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2009 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-4010
Practice Address - Country:US
Practice Address - Phone:517-874-1700
Practice Address - Fax:734-926-8987
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-08-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical