Individual provider · Type 1 NPI

Irina Kushelman, PA-C

Medical Physician Assistant · West Bloomfield, MI

NPI number 1508052861 Active

Practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Call (248) 661-6450 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601004233 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1508052861

Irina Kushelman, PA-C's National Provider Identifier is 1508052861, issued on Sep 20, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Bloomfield, MI. The record was last updated on Sep 20, 2007.