Individual
DANIEL MICHAEL DRZEWIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MPH, PA-C
Contact information
Practice address
2424 S 90TH ST, WEST ALLIS, WI 53227-2455
(414) 328-8750
Mailing address
2424 S 90TH ST, WEST ALLIS, WI 53227-2455
(414) 328-8750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5552-023
WI
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100181219
—
WI
Enumeration date
07/06/2020
Last updated
12/01/2021
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