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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANE STEPHANIE KACZMAREK, PA

Active

DIANE STEPHANIE KACZMAREK, PA is a Physician Assistant healthcare provider located in CLINTON TWP, Michigan. NPI 1023068863 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CLINTON TWP, MI

Registration Details

NPI Number
1023068863
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2006 (20.258696404781 yrs)
Last Updated
Sep 8, 2016
License
5601001308 (MI)

Practice Information

Address
36367 HARPER AVE
CLINTON TWP, MI, 480352958
Browse MI providers · Browse ZIP 48035
Phone
5867916868
Fax
5867915071
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CLINTON TWP, MI

Name Credential NPI
STEPHANIE L SMILEY PHYSICIAN ASST C 1316918659
MS. LAUREN E. GROVES P.A.-C. 1417972613
KELLY HOLMES PA-C 1952317281
MR. CHARLES ALLEN LARNARD IV PA-C 1700094877
MRS. MARY SUZANNE NIEMEYER 1588855951
MRS. SUNITHA VARUGHESE PA-C 1598906075
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.