MEDICARE: DR. JEROME JAMES AGRUSA D.C.

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	111N00000X	Chiropractor	2301004758	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	950E01772	OTHER	MI	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659325413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEROME JAMES AGRUSA D.C.

Provider Business Mailing Address
First Line	:	3775 NEWLAND CT
Second Line	:
City	:	SHELBY TWP
State	:	MI
Zip	:	48316-1348
Country	:	US
Telephone Number	:	586-216-0661
Fax Number	:

Provider Business Practice Location Address
First Line	:	3775 NEWLAND CT
Second Line	:
City	:	SHELBY TWP
State	:	MI
Zip	:	48316-1348
Country	:	US
Telephone Number	:	586-216-0661
Fax Number	:

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	04/11/2025

Similar Medicare Providers

1477590917 — PRO MED MANAGEMENT INC
Practice Location Address:

53950 VAN DYKE AVE , STE 210B
SHELBY TWP, MI
48316

Practice Phone: 586-781-8400
Practice Fax: 586-781-8300

1588609861 — COUNSELING AND EVALUATION PLLC
Practice Location Address:

53950 VAN DYKE AVE , SUITE 210B
SHELBY TWP, MI
48316

Practice Phone: 586-781-8400
Practice Fax: 586-781-8300

1760595680 — RIVERS CHIROPRACTIC CENTER
Practice Location Address:

51547 VAN DYKE AVE
SHELBY TWP, MI
48316-4447

Practice Phone: 586-739-8824
Practice Fax: 586-739-8825

1881708907 — JAMES SCOTT RUBENSTEIN DC
Practice Location Address:

54820 MOUND RD
SHELBY TWP, MI
48316-1705

Practice Phone: 586-677-1616
Practice Fax:

1487761003 — JEFFREY T BAKER DDS
Practice Location Address:

8152 25 MILE RD , SUITE C
SHELBY TWP, MI
48316

Practice Phone: 586-992-9222
Practice Fax: 586-992-0814

1639275092 — MARK ROGER RAFFIN
Practice Location Address:

54945 MOUND RD
SHELBY TWP, MI
48316

Practice Phone: 586-992-1500
Practice Fax: 586-992-8050

Directions to “ DR. JEROME JAMES AGRUSA D.C.” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.