Organization
ADDISON COMMUNITY PHYSICIAN SERVICES ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN K SCRIPKO (PATIENT ACCOUNTS MANAGER)
(734) 547-1174
Entity
Organization
Contact information
Practice address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4900
(734) 547-1161
Mailing address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4900
(734) 547-1161
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H111110
BCBS OF MI
MI
Enumeration date
12/06/2006
Last updated
03/11/2026
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