Provider Demographics
NPI:1396620514
Name:MICHAEL RASANSKY D.O., P.C.
Entity type:Organization
Organization Name:MICHAEL RASANSKY D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE STAFF
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEALYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWITCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-735-2285
Mailing Address - Street 1:3016 BLOOMFIELD PARK DR
Mailing Address - Street 2:
Mailing Address - City:W BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3507
Mailing Address - Country:US
Mailing Address - Phone:248-320-0927
Mailing Address - Fax:
Practice Address - Street 1:8950 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-8399
Practice Address - Country:US
Practice Address - Phone:313-295-3937
Practice Address - Fax:313-295-2006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty