Michelle Prunkard-Czerw in Royal Oak - Physician Assistant
Michelle Prunkard-Czerw - NPI 1407912728
Michelle Prunkard-Czerw is a Physician Assistant in Royal Oak, Michigan. Michelle Prunkard-Czerw practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle Prunkard-Czerw is 1407912728. The last update date is 2022-07-19.
Michelle Prunkard-Czerw's current location address is 3601 W 13 Mile Rd, Royal Oak, Michigan. You can contact this provider via phone number 2488985000. The mailing address for Michelle Prunkard-Czerw is 3601 W 13 Mile Rd, Royal Oak, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Prunkard-Czerw |
|---|---|
| Address | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| Phone Number | 2488985000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1407912728 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2022-07-19 |
Provider Mailing Address Detail
| Address | 3601 W 13 Mile Rd |
|---|---|
| City | Royal Oak |
| State | Michigan (MI) |
| Post Code | 480736712 |
| Phone Number | 2488985000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004707 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 652512000 | MI | BCBS IND PIN | |
| MP004707 | MI | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Michelle Prunkard-Czerw by the Centers for Medicare & Medicaid Services?
The Michelle Prunkard-Czerw has been assigned the NPI (National Provider Identifier) 1407912728. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michelle Prunkard-Czerw is physically located?
The Michelle Prunkard-Czerw is physically situated at the following address: 3601 W 13 Mile Rd, Royal Oak, MI, 480736712.
What is Michelle Prunkard-Czerw's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michelle Prunkard-Czerw is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407912728 to Michelle Prunkard-Czerw?
The Michelle Prunkard-Czerw received its 1407912728 assignment from the Centers for Medicare & Medicaid Services on 2006-12-29.
When was the Michelle Prunkard-Czerw's information last updated?
The Michelle Prunkard-Czerw's information was last updated on 2022-07-19.
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