Provider Demographics
NPI:1699909549
Name:KUZ, ADAM M (CRNA)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:M
Last Name:KUZ
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1038 LONGSPUR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-2561
Mailing Address - Country:US
Mailing Address - Phone:248-765-4335
Mailing Address - Fax:
Practice Address - Street 1:34020 7 MILE RD STE 101
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3093
Practice Address - Country:US
Practice Address - Phone:248-516-5016
Practice Address - Fax:833-969-3912
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704245162367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered