Individual
MR. JOHN G REGALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC PHYSICIAN ASST
Contact information
Practice address
264 W MAPLE, #200, TROY, MI 48084
(248) 273-9930
(248) 273-9931
Mailing address
264 W MAPLE, #200, TROY, MI 48084
(248) 273-9930
(248) 273-9931
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003756
MI
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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