Individual
GINA MARY PERUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19100 GODDARD RD, ALLEN PARK, MI 48101-1156
(313) 763-0309
Mailing address
19100 GODDARD RD, ALLEN PARK, MI 48101-1156
(313) 763-0309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013580
MI
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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