Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY LEON NOSANCHUK, D.O.
Active Sole ProprietorDR. JERRY LEON NOSANCHUK, D.O. is a Adolescent Medicine healthcare provider located in BINGHAM FARMS, Michigan. NPI 1568529931 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · BINGHAM FARMS, MI
Registration Details
- NPI Number
- 1568529931
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2007 (19.629434860999 yrs)
- Last Updated
- Jan 26, 2026
- License
-
5101005933 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31500 TELEGRAPH RDSUITE 210BINGHAM FARMS, MI, 480254367Browse MI providers · Browse ZIP 48025
- Phone
- 2486447200
- Fax
- 2486447210
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.