Provider Demographics
NPI:1205416591
Name:OLEJNIK-BRZUSEK, SCARLETT (MD)
Entity Type:Individual
Prefix:
First Name:SCARLETT
Middle Name:
Last Name:OLEJNIK-BRZUSEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SCARLETT
Other - Middle Name:
Other - Last Name:OLEJNIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:49167 WHITE MILL DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-1624
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3901 BEAUBIEN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2196
Practice Address - Country:US
Practice Address - Phone:586-996-3250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-10
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program