Individual provider · Type 1 NPI

Matthew Nedwicki, PA-C

Physician Assistant · Detroit, MI

NPI number 1134520042 Active

Practice location

4771 Michigan Ave
Detroit, MI 48210-3247

Call (313) 897-2600 Map

Fax (313) 897-2424

Mailing address

1416 Erickson Rd
Boyne City, MI 49712-9199

Other practice locations

  • 1619 Anderson Rd, Petoskey, MI 49770-9256 · (231) 417-6050
  • 825 N Center Ave, Gaylord, MI 49735-1592 · (989) 731-2100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601007113 (MI)

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 1134520042

Matthew Nedwicki, PA-C's National Provider Identifier is 1134520042, issued on Sep 10, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 8, 2026.