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

Marisa A Bayudan, PA

Individual provider Physician Assistant · NPI 1619224581

Marisa A Bayudan, PA is a Physician Assistant in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 37000 Grand River Ave Ste 310, Farmington Hills, MI 48335-2868 — (248) 536-2127

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006403 (MI)

Record details

NPI number1619224581
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 10, 2012
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

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