Provider Demographics
NPI:1578754024
Name:MICHALSKI, URSZULA (RPTA)
Entity Type:Individual
Prefix:MRS
First Name:URSZULA
Middle Name:
Last Name:MICHALSKI
Suffix:
Gender:F
Credentials:RPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 ECKFORD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085
Mailing Address - Country:US
Mailing Address - Phone:248-689-7894
Mailing Address - Fax:
Practice Address - Street 1:38777 WEST SIX MILE ROAD
Practice Address - Street 2:SUITE 209 SUPPLEMENTAL HEALTH CARE
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152
Practice Address - Country:US
Practice Address - Phone:734-452-0395
Practice Address - Fax:734-779-1361
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01696208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation