Organization
MICHAEL A KWIAT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A KWIAT MD (OWNER)
(724) 773-0216
Entity
Organization
Contact information
Practice address
1360 SHARON RD, BEAVER, PA 15009-3128
(724) 773-0216
(724) 773-0219
Mailing address
1360 SHARON RD, BEAVER, PA 15009-3128
(724) 773-0216
(724) 773-0219
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD043875L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1695767
TRADITIONAL BLUE SHIELD
PA
Enumeration date
11/16/2007
Last updated
05/02/2008
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