Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL M DUTKEVICZ, PA-C
ActiveMR. MICHAEL M DUTKEVICZ, PA-C is a Physician Assistant healthcare provider located in BRIDGEPORT, West Virginia. NPI 1902803331 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BRIDGEPORT, WV
Registration Details
- NPI Number
- 1902803331
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2005 (21.084742547241 yrs)
- Last Updated
- May 20, 2015
- License
-
1809 (WV)
Practice Information
- Address
-
135 PROFESSIONAL PLBRIDGEPORT, WV, 263304509Browse WV providers · Browse ZIP 26330
- Phone
- 6813423680
- Fax
- 6813423665
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BRIDGEPORT, WV
| Name | Credential | NPI |
|---|---|---|
| MANDOLIN DEBORAH HOFFMAN-MARINO | PA-C | 1205806742 |
| MS. KRISTIN B SMUCKER | P.A. | 1255367074 |
| MRS. HEATHER NICOLE REESMAN | PA-C | 1497762108 |
| WILLIAM ORTAN NELSON | PA-C | 1548560071 |
| MISS TAMMY LOU YAZEVAC | PA | 1750674149 |
| CATHRYN ELISE SWEENEY | PA-C | 1861769879 |
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.