NPI 1023068863

Diane Stephanie Kaczmarek, PA

Practitioner Physician Assistant Clinton Twp, MI

Practice location

Address: 36367 Harper Ave, Clinton Twp, MI 48035-2958
Phone: (586) 791-6868
Fax: (586) 791-5071

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601001308 (MI)

Other Physician Assistant providers in Michigan →

Registry record

NPI: 1023068863
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2006
Record last updated: 8 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.