Individual
AUTUMN M MONAWECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5623 GULL RD STE 500, KALAMAZOO, MI 49048-1098
(269) 775-8031
Mailing address
601 JOHN STREET, BOX 39, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2032-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2032-023
STATE LICENSE
WI
Enumeration date
09/25/2006
Last updated
06/02/2022
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