Individual provider · Type 1 NPI

Isaac Michael Peruski, PA-C

Surgical Physician Assistant · West Bloomfield, MI

NPI number 1669098174 Active

Practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Call (248) 325-1000 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 12605 E 16th Ave, Aurora, CO 80045-2545 · (720) 848-0000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601010032 (MI)
Surgical Physician Assistant Primary 363AS0400XPA.0007820 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1669098174

Isaac Michael Peruski, PA-C's National Provider Identifier is 1669098174, issued on Jun 20, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Bloomfield, MI. The record was last updated on May 3, 2023.