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Individual
MR. DOUGLAS JAMES YOZWIAK
Active
Individual
MR. DOUGLAS JAMES YOZWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1742
KY
363AM0700X
Medical Physician Assistant
PA1742
KY
363AS0400X
Surgical Physician Assistant
PA1742
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1742
KENTUCKY LICENSE INFORMATION
KY
Enumeration date
03/20/2012
Last updated
08/19/2025
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