MEDICARE: BRIANA MARIE ZALEWSKI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1497502033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA MARIE ZALEWSKI PA-C

Provider Business Mailing Address
First Line	:	34445 ELDORADO ST
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48035-3452
Country	:	US
Telephone Number	:	586-354-3952
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 KIRTS BLVD
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-5260
Country	:	US
Telephone Number	:	248-244-8448
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	06/04/2026

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