Individual
MR. JUSTIN M. PANZICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-4866
Mailing address
5605 N MACARTHUR BLVD, IRVING, TX 75038-2617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601007114
MI
363A00000X
Physician Assistant
Primary
6861175
ID
363A00000X
Physician Assistant
PA17836
TX
Other
Enumeration date
09/05/2014
Last updated
05/20/2025
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