Individual ProviderLuke DenzerPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1280 E Campus Dr, Mount Pleasant, MI 48858-3803(734) 788-8192PECOS EnrollmentBased on the most recent information from CMS, provider Luke Denzer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1891327631Provider TypeIndividualFull NameDenzer, LukeGenderMaleSole ProprietorYesEnumeration Date2/10/2020Last Updated5/10/2021Contact InformationPractice LocationPractice Address1280 E Campus Dr, Mount Pleasant, MI 48858-3803Phone(734) 788-8192FaxUnlisted FaxMailing LocationMailing Address125 Village Way, Canton, MI 48188-3449Phone(734) 788-8192FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerMichiganCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer