NPI 1124179627

Jeffery a Kwiatkowski, PAC

Practitioner Physician Assistant Alpena, MI

Practice location

Address: 1501 W Chisholm St, Alpena, MI 49707-1401
Phone: (800) 968-6866
Fax: (616) 532-7230
Mailing address: PO Box 2347, Grand Rapids, MI 49501-2347

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601004928 (MI)

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Registry record

NPI: 1124179627
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2007
Record last updated: 28 Oct 2021

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.