Diane Stephanie Kaczmarek in Clinton Twp - Physician Assistant
Diane Stephanie Kaczmarek - NPI 1023068863
Diane Stephanie Kaczmarek is a Physician Assistant in Clinton Twp, Michigan. Diane Stephanie Kaczmarek practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Diane Stephanie Kaczmarek is 1023068863. The last update date is 2016-09-08.
Diane Stephanie Kaczmarek's current location address is 36367 Harper Ave, Clinton Twp, Michigan. You can contact this provider via phone number 5867916868 and fax number 5867915071. The mailing address for Diane Stephanie Kaczmarek is 36367 Harper Ave, Clinton Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Stephanie Kaczmarek |
|---|---|
| Address | 36367 Harper Ave, Clinton Twp, Michigan |
| Phone Number | 5867916868 |
| Fax Number | 5867915071 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1023068863 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2016-09-08 |
Provider Mailing Address Detail
| Address | 36367 Harper Ave |
|---|---|
| City | Clinton Twp |
| State | Michigan (MI) |
| Post Code | 480352958 |
| Phone Number | 5867916868 |
| Fax Number | 5867915071 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601001308 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Diane Stephanie Kaczmarek's 1023068863?
The Diane Stephanie Kaczmarek's NPI (National Provider Identifier) Number is 1023068863. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Diane Stephanie Kaczmarek located?
The Diane Stephanie Kaczmarek is located at 36367 Harper Ave, Clinton Twp, MI 480352958.
What is Diane Stephanie Kaczmarek's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Diane Stephanie Kaczmarek is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Diane Stephanie Kaczmarek receive its 1023068863 assignment from the Centers for Medicare & Medicaid Services?
The Diane Stephanie Kaczmarek was assigned its 1023068863 by the Centers for Medicare & Medicaid Services on 2006-05-11.
As of what date were the details related to Diane Stephanie Kaczmarek most recently updated or revised?
The information pertaining to Diane Stephanie Kaczmarek, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-08.