Individual
EDWARD PAZUCHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29751 LITTLE MACK AVE, ROSEVILLE, MI 48066-6503
(586) 447-4100
(586) 447-4117
Mailing address
P.O. BOX 77000, DEPARTMENT 771036, DETROIT, MI 48277-1036
(586) 447-4171
(586) 447-4180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301047752
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3024768
—
MI
Enumeration date
08/17/2005
Last updated
02/15/2011
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