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

Individual provider Physician Assistant · NPI 1912321027

Patrick Agunwa, PA is a Physician Assistant in West Bloomfield, Michigan. Qualified in 2013, 13 years ago. Practices with Michigan Infusion Services and Licensed Healthcare, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2014
Specialties on file
2
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

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (800) 653-6568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6301 Royal Point, West Bloomfield, MI 48322 — (248) 361-9085

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006923 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601006923

Record details

NPI number1912321027
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 10, 2014
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Michigan Infusion Services And Licensed Healthcare — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in West Bloomfield