Individual
EWA PLUSZCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1135 W UNIVERSITY DR STE 450, ROCHESTER, MI 48307-1871
(248) 650-2400
(248) 650-4596
Mailing address
7650 DIXIE HWY, SUITE 140, CLARKSTON, MI 48346-2078
(248) 620-9310
(248) 922-5945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007830
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790738607
—
MI
01
—
700F318300
MICHIGAN BCBS
MI
Enumeration date
05/19/2006
Last updated
06/16/2018
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