Healthcare Provider Details

I. General information

NPI: 1396620514
Provider Name (Legal Business Name): MICHAEL RASANSKY D.O., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 TELEGRAPH RD
TAYLOR MI
48180-8399
US

IV. Provider business mailing address

3016 BLOOMFIELD PARK DR
W BLOOMFIELD MI
48323-3507
US

V. Phone/Fax

Practice location:
  • Phone: 313-295-3937
  • Fax: 313-295-2006
Mailing address:
  • Phone: 248-320-0927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHEALYNN SWITCH
Title or Position: OFFICE STAFF
Credential:
Phone: 734-735-2285