Healthcare Provider Details

I. General information

NPI: 1083525372
Provider Name (Legal Business Name): MRS. MARSELA DUSAJ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 WALTON BLVD STE 660
ROCHESTER HILLS MI
48309-1768
US

IV. Provider business mailing address

39450 WENDY CT
CLINTON TWP MI
48038-4088
US

V. Phone/Fax

Practice location:
  • Phone: 586-713-1539
  • Fax:
Mailing address:
  • Phone: 586-713-1539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: