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

KENNETH MARK WARDOWSKI, PA

Active

KENNETH MARK WARDOWSKI, PA is a Physician Assistant healthcare provider located in SOUTHFIELD, Michigan. NPI 1831190305 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SOUTHFIELD, MI

Registration Details

NPI Number
1831190305
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2005 (20.978159589543 yrs)
Last Updated
Mar 7, 2023
Licenses
5601002147 (MI)
56010002147 (MI)

Practice Information

Address
16001 W 9 MILE RD
DEPT OF SURGERY
SOUTHFIELD, MI, 480754818
Browse MI providers · Browse ZIP 48075
Phone
2488493000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant

Other Physician Assistant Providers in SOUTHFIELD, MI

Name Credential NPI
MICHELLE BAKER PA 1477557734
ROGER JONATHAN ONG PA 1992704167
AMY G. CONNOLLY PA-C 1033106331
MRS. KAREN JOY DANIEL PHYSICIAN ASSISTANT 1649242777
LAINE WOODARD PA-C 1962455055
PANAGIOTA BAROS PA 1467406819
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.