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

Mr. Roger Allen Mausolf, PA-C

Individual provider Medical Physician Assistant · NPI 1174883359

Mr. Roger Allen Mausolf, PA-C is a Physician Assistant in Davison, Michigan. Graduated from Wayne State University School of Medicine in 2012, 14 years ago. Practices with Henry Ford Medical Group Genesys, a 97-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
14
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2012
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 →

Practice location Address checks out

8020 Davison Rd
Davison, MI 48423-2029
Phone: (810) 653-4145
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601006344 (MI)

Record details

NPI number1174883359
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 22, 2012
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Henry Ford Medical Group Genesys — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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