Individual provider · Type 1 NPI

Jamie Lauren Farrugia, M.S., PA-C

Medical Physician Assistant · Detroit, MI

NPI number 1114476652 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (313) 916-2600 Map

Fax (313) 874-4677

Mailing address

38614 Lanse Creuse St
Harrison Township, MI 48045-2060

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601007919 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1114476652

Jamie Lauren Farrugia, M.S., PA-C's National Provider Identifier is 1114476652, issued on Sep 26, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Sep 26, 2016.