JAN PRUSINOWSKI

WYANDOTTE, MI
NPI1366413411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601001290)
Enumeration Date2006-01-27
Last Update Date2007-07-08
Business Address
-- JAN PRUSINOWSKI P.A.-C
1500 EUREKA RD
WYANDOTTE, MI 48192-6103
Phone number: 734-282-2500
Mailing Address
-- JAN PRUSINOWSKI P.A.-C
826 HIGHVIEW ST
DEARBORN, MI 48128-1548
Phone number: 313-563-6340
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