Individual provider · Type 1 NPI

Jackson Gutowski, PA

Physician Assistant · Traverse City, MI

NPI number 1255226155 Active

Practice location

2200 Dendrinos Dr Ste 102
Traverse City, MI 49684-8895

Fax (616) 331-5999

Mailing address

1 Campus Dr, 2015 James H Zumberge Hall
Allendale, MI 49401-9403

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone 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 1255226155

Jackson Gutowski, PA's National Provider Identifier is 1255226155, issued on Jun 11, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Traverse City, MI. The record was last updated on Jun 11, 2025.