Individual
MR. MICHAEL M DUTKEVICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
135 PROFESSIONAL PL, BRIDGEPORT, WV 26330-4509
(681) 342-3680
(681) 342-3665
Mailing address
135 PROFESSIONAL PL, BRIDGEPORT, WV 26330-4509
(681) 342-3680
(681) 342-3665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1809
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070754
—
OH
Enumeration date
06/30/2005
Last updated
05/20/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us