Provider Demographics
NPI:1396940508
Name:MURASKI, ANTHONY AUGUSTUS (PHD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:AUGUSTUS
Last Name:MURASKI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2542
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106
Mailing Address - Country:US
Mailing Address - Phone:734-604-8765
Mailing Address - Fax:734-662-1536
Practice Address - Street 1:3830 WARREN COURT
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105
Practice Address - Country:US
Practice Address - Phone:734-604-8765
Practice Address - Fax:734-662-1536
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000063231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist