NPI 1104416437

Jonathan Hawblitz, PAC

Practitioner Physician Assistant Portage, MI

Practice location

Address: 2700 E Centre Ave, Portage, MI 49002-5500
Phone: (269) 286-7050
Fax: (269) 286-7051
Mailing address: 15020 Ranson Rd, Huntersville, NC 28078-7016

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601010412 (MI)

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Registry record

NPI: 1104416437
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2021
Record last updated: 1 Jul 2026

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.