Healthcare Provider Details

I. General information

NPI: 1902750409
Provider Name (Legal Business Name): DEVIN PAIGE DZUMARYK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36622 FIVE MILE RD STE 101
LIVONIA MI
48154-1900
US

IV. Provider business mailing address

36622 FIVE MILE RD STE 101
LIVONIA MI
48154-1900
US

V. Phone/Fax

Practice location:
  • Phone: 734-542-0200
  • Fax:
Mailing address:
  • Phone: 734-542-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: