Individual provider · Type 1 NPI
Johdinann Marsha Olive Hartley Waclawski, PAS
Physician Assistant · Traverse City, MI
Practice location
2200 Dendrinos Drive, Suite 102
Traverse City, MI 49684
Fax (616) 331-5999
Mailing address
1 Campus Drive, 2015 James H. Zumberge Hall
Allendale, MI 49401-9403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1013731124
Johdinann Marsha Olive Hartley Waclawski, PAS's National Provider Identifier is 1013731124, issued on Nov 14, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Traverse City, MI. The record was last updated on Nov 14, 2024.