person
Jeremiah Bacalso Ducusin, PA-C
Medical Physician Assistant in Clinton Township, Michigan
NPI 1164173001

Jeremiah Bacalso Ducusin is a Medical Physician Assistant based in Macomb, MI and is specialized in Medical. Jeremiah Bacalso Ducusin practices in Clinton Township, MI and has the professional credentials of PA-C. The NPI Number for Jeremiah Bacalso Ducusin is 1164173001 and holds a License No. (Michigan).

The current practice location address for Jeremiah Bacalso Ducusin is 15855 19 Mile Rd, Clinton Township, MI and can be reached out via phone at 586-263-2300.

Location: 15855 19 Mile Rd, Clinton Township, MI, 48044-6340
person
Provider Profile Details
NPI Number
1164173001
Provider Name
Jeremiah Bacalso Ducusin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
15855 19 Mile Rd, Clinton Township, MI, 48044-6340
Phone Number
586-263-2300
Fax Number
Provider Enumeration Date
01/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15855 19 Mile Rd
City
State
Zip
48038-3504
Phone Number
586-263-2300
Fax Number
person
Provider Business Mailing Address Details
Address
15855 19 Mile Rd
City
State
Zip
48038-3504
Phone Number
586-263-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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