Individual
MR. JOSEPH GERARD KULCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7470 BROCKWAY RD, BROCKWAY, MI 48097-3458
(810) 387-3211
Mailing address
1055 N 6TH ST, SAINT CLAIR, MI 48079-4215
(810) 329-6028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5701001652
MI
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
04/14/2021
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