Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCUS WOLLAK
ActiveMARCUS WOLLAK is a Physician Assistant healthcare provider located in SOUTH HAVEN, Michigan. NPI 1417572827 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTH HAVEN, MI
Registration Details
- NPI Number
- 1417572827
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2020 (6.1673925459764 yrs)
- Last Updated
- Oct 27, 2021
- License
-
5601010639 (MI)
Practice Information
- Address
-
930 BLUE STAR HWYSOUTH HAVEN, MI, 490907758Browse MI providers · Browse ZIP 49090
- Phone
- 2696371115
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Student (Health Education/Training)
Other Physician Assistant Providers in SOUTH HAVEN, MI
| Name | Credential | NPI |
|---|---|---|
| BRICE J MILLER | PA-C | 1336120427 |
| ANNE SLACHTA | PA-C | 1164457669 |
| MARK A BONASSO | PA-C | 1396764841 |
| JAMES L. WERTHEIMER | PA | 1891885281 |
| EVAN ASHLEY GILLO | PA-C | 1013225549 |
| KATHLEEN MARTINEZ | — | 1508401019 |
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.