Individual
MR. CODY MICHAEL LAWNICHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
205 S BRADLEY HWY, ROGERS CITY, MI 49779-2137
(989) 734-2052
(989) 734-7390
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 354-2197
(989) 356-6524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007061
MI
Other
Enumeration date
07/17/2014
Last updated
01/12/2015
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