Individual provider · Type 1 NPI

Justin Patrick, PA

Physician Assistant · Southfield, MI

NPI number 1366120982 Active

Practice location

24725 W 12 Mile Rd Ste 260
Southfield, MI 48034-8310

Call (248) 382-8052 Map

Mailing address

2701 Park Ave
Detroit, MI 48201-3041

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601011860 (MI)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366120982

Justin Patrick, PA's National Provider Identifier is 1366120982, issued on Jul 5, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southfield, MI. The record was last updated on Oct 18, 2023.