Individual
MS. JANICE GILBERT RUSHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
19900 HAGGERTY RD, LIVONIA, MI 48152-1054
(734) 432-7811
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669703989
—
MI
Enumeration date
01/26/2010
Last updated
12/17/2019
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