Individual
JEFFERY A KWIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(800) 968-6866
(616) 532-7230
Mailing address
PO BOX 2347, GRAND RAPIDS, MI 49501-2347
(800) 968-6866
(616) 532-7230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004928
MI
Other
Enumeration date
01/13/2007
Last updated
10/28/2021
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