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JUSTIN SEVERANCE
Surgical Physician Assistant
NPI: 1518413244IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician Assistant
Physician Assistant
Code: 363A00000X
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
MED-PAC-LIC-99519(MT)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Class of 2016
Contact & Hours
- Address
- 2799 W GRAND BLVRD
DETROIT, MI 48202 - Phone
- (313) 916-2695
Quick Facts
- NPI
- 1518413244
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 10
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