Individual
DR. MICHAEL KWIAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1360 SHARON RD, BEAVER, PA 15009-3128
(724) 773-0216
Mailing address
1360 SHARON RD, BEAVER, PA 15009-3128
(724) 773-0216
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD043875L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
682535
PA BLUE SHIELD NUMBER
PW
Enumeration date
05/09/2006
Last updated
11/14/2007
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