Deanna Grifka is a Physician Assistant in Warren, Michigan. Deanna Grifka practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Deanna Grifka is 1689611402. The last update date is 2012-10-10.
Deanna Grifka's current location address is 11900 E 12 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5865735300 and fax number 5865735304. The mailing address for Deanna Grifka is 11900 E 12 Mile Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deanna Grifka |
|---|---|
| Address | 11900 E 12 Mile Rd, Warren, Michigan |
| Phone Number | 5865735300 |
| Fax Number | 5865735304 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1689611402 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2012-10-10 |
Provider Mailing Address Detail
| Address | 11900 E 12 Mile Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480933400 |
| Phone Number | 5865735300 |
| Fax Number | 5865735304 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103122 |
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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 |
|---|---|---|---|
| 29Z314900 | FL | -- | |
| M57830007 | MI | MEDICARE NUMBER | |
| 292314900 | FL | -- |
Post Comment/ Review Below
What is the Deanna Grifka's unique identification number?
The Deanna Grifka has been assigned the NPI (National Provider Identifier) Number 1689611402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Deanna Grifka is physically located?
The Deanna Grifka is physically situated at the following address: 11900 E 12 Mile Rd, Warren, MI, 480933400.
What is the Deanna Grifka's specialty and taxonomy code?
The Deanna Grifka's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the Deanna Grifka receive its 1689611402?
The Deanna Grifka was issued its 1689611402 on 2006-06-01, which is the date when the organization was assigned this unique identifier.
When was the information regarding Deanna Grifka most recently updated?
The details pertaining to the Deanna Grifka, including its address, specialty, and other relevant information, were last refreshed on 2012-10-10.
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