Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ian Roger Prochaska, PA-C

Individual provider Medical Physician Assistant · NPI 1649640293

Ian Roger Prochaska, PA-C is a Medical Physician Assistant in Ann Arbor, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 — (810) 606-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007518 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601007518 (MI)

Record details

NPI number1649640293
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2015
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

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