Individual
ADAM PERUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(989) 948-4584
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(313) 461-4243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007397
MI
Other
Enumeration date
06/21/2015
Last updated
02/18/2021
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