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

Jared Lutsic, DO

Individual provider Orthopaedic Surgery Physician · NPI 1114714680

Jared Lutsic, DO is an Orthopaedic Surgery Physician in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

12000 E 12 Mile Rd
Warren, MI 48093-3570
Phone: (586) 759-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 5151017542APP25 (MI)

Record details

NPI number1114714680
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address12000 E 12 Mile Rd, Warren, MI 48093-3570

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