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NPI Code Detail

MEDICARE: JULIA SWITZER PA

MEDICARE: JULIA SWITZER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601003742MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1382523696001OTHERMITRICARE

General Provider Information

NPI Number : 1528046505
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA SWITZER PA
Provider Business Mailing Address
First Line : 4646 JOHN R ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-1916
Country : US
Telephone Number : 313-576-3319
Fax Number :
Provider Business Practice Location Address
First Line : 4646 JOHN R ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-1916
Country : US
Telephone Number : 313-576-3319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 08/04/2011

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Directions to “ JULIA SWITZER PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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