Individual
JEFFREY LIPSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15200 GRATIOT AVE, DETROIT, MI 48205-1327
(313) 924-8495
Mailing address
41735 FOSTER DR UNIT 101, NOVI, MI 48375-1977
(860) 869-0582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/13/2020
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