Provider Demographics
NPI:1821887050
Name:AVRAMOSKI, PHILIP ADAM (SRNA)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:ADAM
Last Name:AVRAMOSKI
Suffix:
Gender:
Credentials:SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 E 13 MILE RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-2641
Mailing Address - Country:US
Mailing Address - Phone:734-812-2684
Mailing Address - Fax:
Practice Address - Street 1:134 E 13 MILE RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-2641
Practice Address - Country:US
Practice Address - Phone:734-812-2684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program