Individual ProviderCraig Vincent YanuszeskiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-7279(248) 977-9314PECOS EnrollmentBased on the most recent information from CMS, provider Craig Vincent Yanuszeski does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1780324954Provider TypeIndividualFull NameYanuszeski, Craig VincentTitleDr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date3/29/2022Last Updated3/29/2022Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-7279FaxUnlisted FaxMailing LocationMailing Address2492 Cullen Ct, Lake Orion, MI 48360-1836Phone(248) 977-9314FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer