Mark Dawydowycz, PA
Physician Assistant in West Allis, WI. Individual provider (NPI-1).
NPI number1487059481
StatusActive
Last updated in NPPESNov 30, 2021
Details
- NPI
- 1487059481
- Entity type
- Individual (NPI-1)
- Name
- Mark Dawydowycz
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2014
- Certification date
- Nov 30, 2021
- Last updated
- Nov 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3447-23 | WI | Yes |
Practice location
2515 S 88th StWest Allis, WI 53227-2723
Phone 414-630-3499
Mailing address
2515 S. 88th StWest Allis, WI 53227
Phone 414-630-3499
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All 32 Physician Assistant providers in West Allis · All 1,759 providers in West Allis
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