MEDICARE: MAX ROBERT WARSCHAUSKY

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1548112501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAX ROBERT WARSCHAUSKY

Provider Business Mailing Address
First Line	:	1114 LINCOLN AVE
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-3529
Country	:	US
Telephone Number	:	734-478-3334
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 N WEST AVE
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49202-2179
Country	:	US
Telephone Number	:	517-789-1209
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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