Individual
MR. MICHAEL JOSEPH LOUIS CAPORUSCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013384
MI
363AM0700X
Medical Physician Assistant
—
MI
Other
Enumeration date
08/29/2025
Last updated
12/12/2025
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