Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jan Prusinowski, PA-C

Individual provider Medical Physician Assistant · NPI 1366413411

Jan Prusinowski, PA-C is a Physician Assistant in Wyandotte, Michigan. Graduated from Mercy College in 1980, 46 years ago. Practices with Advanced Dermatology of Michigan PC, a 40-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
46
Trained at
Mercy College
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone: (734) 282-2500
Fax: (734) 282-6397
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601001290 (MI)

Record details

NPI number1366413411
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 1980 (46 years in practice)
Group practice Advanced Dermatology Of Michigan Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wyandotte