Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMIAH BACALSO DUCUSIN, PA-C
ActiveJEREMIAH BACALSO DUCUSIN, PA-C is a Medical Physician Assistant healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1164173001 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CLINTON TOWNSHIP, MI
Registration Details
- NPI Number
- 1164173001
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2022 (4.5570391514372 yrs)
- Last Updated
- Jan 12, 2022
Practice Information
- Address
-
15855 19 MILE RDCLINTON TOWNSHIP, MI, 480383504Browse MI providers · Browse ZIP 48038
- Phone
- 5862632300
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CLINTON TOWNSHIP, MI
| Name | Credential | NPI |
|---|---|---|
| SHANNON WASMUND | PA | 1154371409 |
| MS. THERESA STEPHANINE JONES | M.S. PA C | 1376552877 |
| MISS RADHA SAMPAT | PA-C | 1801190913 |
| MS. RACHEL RENEE MACKMIN | PA-C | 1760018808 |
| EMAN IMRAN | PA-C | 1952115065 |
| KIMBERLEE MOLNAR | CMA | 1023814274 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.