Healthcare Provider Details

I. General information

NPI: 1497502033
Provider Name (Legal Business Name): BRIANA MARIE ZALEWSKI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 KIRTS BLVD
TROY MI
48084-5260
US

IV. Provider business mailing address

34445 ELDORADO ST
CLINTON TWP MI
48035-3452
US

V. Phone/Fax

Practice location:
  • Phone: 248-244-8448
  • Fax:
Mailing address:
  • Phone: 586-354-3952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: