Individual
DENNIS W KABACZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
47311 FIVE MILE RD, PLYMOUTH, MI 48170-3768
(734) 254-0665
(734) 254-0667
Mailing address
47311 FIVE MILE RD, PLYMOUTH, MI 48170-3768
(734) 254-0665
(734) 254-0667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002105
MI
Other
Enumeration date
05/11/2007
Last updated
05/20/2013
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