Provider Demographics
NPI:1275654832
Name:ABRAMOWICZ, JAN EDWARD JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JAN
Middle Name:EDWARD
Last Name:ABRAMOWICZ
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2532 WOODMONT DR W
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1602
Mailing Address - Country:US
Mailing Address - Phone:734-394-0367
Mailing Address - Fax:
Practice Address - Street 1:2532 WOODMONT DR W
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-1602
Practice Address - Country:US
Practice Address - Phone:734-394-0367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601002484363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant