Individual
ISAAC MICHAEL 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
(248) 325-1000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601010032
MI
363AS0400X
Surgical Physician Assistant
Primary
PA.0007820
CO
Other
Enumeration date
06/20/2020
Last updated
05/03/2023
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