Individual
MR. DEAN PATRICK KENDZIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 MERCY DR STE 100, MUSKEGON, MI 49444-1833
(231) 733-1326
Mailing address
1700 OAK AVE, SUITE400, MUSKEGON, MI 49442-2407
(231) 777-2093
(231) 773-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008307
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P26877
PRIORITY HEALTH
MI
Enumeration date
08/02/2005
Last updated
03/02/2023
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