Individual provider · Type 1 NPI

Jan Prusinowski, P.A.-C

Medical Physician Assistant · Wyandotte, MI

NPI number 1366413411 Active

Practice location

1500 Eureka Rd
Wyandotte, MI 48192-6103

Call (734) 282-2500 Map

Fax (734) 282-6397

Mailing address

826 Highview St
Dearborn, MI 48128-1548

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601001290 (MI)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1366413411

Jan Prusinowski, P.A.-C's National Provider Identifier is 1366413411, issued on Jan 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wyandotte, MI. The record was last updated on Jul 13, 2026.