Justin Severance is a surgical physician assistant in Detroit, MI with 8 years of experience. Justin Severance NPI is 1518413244. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2016
The provider's business location address is:
2799 W GRAND BLVRD
DETROIT, MI
ZIP 48202-820
Phone: (313) 916-2695
The NPI 1518413244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/1/2016 and was last updated on 12/14/2021.