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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAN PRUSINOWSKI, P.A.-C

Active

JAN PRUSINOWSKI, P.A.-C is a Medical Physician Assistant healthcare provider located in WYANDOTTE, Michigan. NPI 1366413411 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WYANDOTTE, MI

Registration Details

NPI Number
1366413411
Provider Type
Individual
Gender
Male
NPI Issued
Jan 27, 2006 (20.543704826721 yrs)
Last Updated
Jul 8, 2007
License
5601001290 (MI)

Practice Information

Address
1500 EUREKA RD
WYANDOTTE, MI, 481926103
Browse MI providers · Browse ZIP 48192
Phone
7342822500
Fax
7342826397
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in WYANDOTTE, MI

Name Credential NPI
MR. IBRAHIM HUSSEIN DABAJA PA 1053592238
MRS. LINDSAY MAUDRIE P.A. 1730413113
VANESSA VARMA PA-C 1093010118
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.