Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN SEVERANCE
ActiveJUSTIN SEVERANCE is a Surgical Physician Assistant healthcare provider located in DETROIT, Michigan. NPI 1518413244 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · DETROIT, MI
Registration Details
- NPI Number
- 1518413244
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2016 (9.9754738868586 yrs)
- Last Updated
- Dec 14, 2021
- License
-
MED-PAC-LIC-99519 (MT)
Practice Information
- Address
-
2799 W GRAND BLVRDDETROIT, MI, 482024820Browse MI providers · Browse ZIP 48202
- Phone
- 3139162695
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| VESNA CADIKOVSKA | PA-C | 1205897469 |
| LAUREN BETH GURSKI | PAC | 1184678690 |
| ERIK ILMARS SAULITIS | PAC | 1285680421 |
| YU ZHENG | PAC | 1326089228 |
| MARK M ROESER | PAC | 1194751693 |
| DEJUANA MICHELLE STRONG | P.A. | 1316967813 |
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.