Individual provider · Type 1 NPI

Ian Roger Prochaska, PA-C

Physician Assistant · Ann Arbor, MI

NPI number 1649640293 Active

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Other practice locations

  • 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 · (810) 606-5000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5601007518 (MI)
Physician Assistant Primary 363A00000X5601007518 (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 1649640293

Ian Roger Prochaska, PA-C's National Provider Identifier is 1649640293, issued on Sep 25, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 20, 2022.