Healthcare Provider Details

I. General information

NPI: 1396140166
Provider Name (Legal Business Name): JAMIE SZKODZINSKI PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE LEIGH BRAWLEY PA-C

II. Dates (important events)

Enumeration Date: 10/23/2014
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TRINITY HEALTH IHA MEDICAL GROUP ORTHOPEDICS-GENOA 2305 GENOA BUSINESS PARK DR STE 120
BRIGHTON MI
48114
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DR. SUITE J2000
ANN ARBOR MI
48105
US

V. Phone/Fax

Practice location:
  • Phone: 810-844-7785
  • Fax: 810-844-7567
Mailing address:
  • Phone: 734-647-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601007216
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: