IndividualActive
Michael Jukich, C.C.P.
NPI 1215971601 · Perfusionist · Tempe, AZ
Provider details
- NPI number
- 1215971601
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- C.C.P.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
5801 S Mcclintock Dr
110
Tempe, AZ 85283-6002
Phone: (480) 777-0900
Fax: (480) 777-1345
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27588
Tempe, AZ 85285-7588
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2009-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.