Jerry Nosanchuk Do Pllc in West Bloomfield - Adult Medicine

Jerry Nosanchuk Do Pllc - NPI 1023281706

Jerry Nosanchuk Do Pllc is a Adult Medicine in West Bloomfield, Michigan. Jerry Nosanchuk Do Pllc practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Jerry Nosanchuk Do Pllc is 1023281706. The last update date is 2008-04-02.

Jerry Nosanchuk Do Pllc's current location address is 4545 Northridge Ct, West Bloomfield, Michigan. You can contact this provider via phone number 2489268080 and fax number 2489268077. The mailing address for Jerry Nosanchuk Do Pllc is 4545 Northridge Ct, West Bloomfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jerry Nosanchuk Do Pllc
Address 4545 Northridge Ct, West Bloomfield, Michigan
Phone Number 2489268080
Fax Number 2489268077
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Nosanchuk Jerry
Credentials DO
Telephone Number 2489268080

NPI Number Detail

NPI Number 1023281706
Provider Enumeration Date 2008-04-02
Last Updated Date 2008-04-02

Provider Mailing Address Detail

Address 4545 Northridge Ct
City West Bloomfield
State Michigan (MI)
Post Code 483231397
Phone Number 2489268080
Fax Number 2489268077

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
158224424 MI BCBS MICHIGAN

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FAQs about Jerry Nosanchuk Do Pllc

What is the unique 10-digit identification code assigned to Jerry Nosanchuk Do Pllc by the Centers for Medicare & Medicaid Services?

The Jerry Nosanchuk Do Pllc has been issued the NPI (National Provider Identifier) 1023281706, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jerry Nosanchuk Do Pllc is located?

The Jerry Nosanchuk Do Pllc is situated at the following address: 4545 Northridge Ct, West Bloomfield, MI, 483231397.

What is Jerry Nosanchuk Do Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jerry Nosanchuk Do Pllc is Adult Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0505X.

On what date did the Jerry Nosanchuk Do Pllc receive its 1023281706 assignment from the Centers for Medicare & Medicaid Services?

The Jerry Nosanchuk Do Pllc was assigned its 1023281706 by the Centers for Medicare & Medicaid Services on 2008-04-02.

As of what date were the Jerry Nosanchuk Do Pllc's details last updated?

The information pertaining to the Jerry Nosanchuk Do Pllc, including its address, specialty, and other details, was most recently updated on 2008-04-02.

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