Individual provider · Type 1 NPI

Joshua Eric Kwasnicka

Surgical Physician Assistant · South Bend, IN

NPI number 1386190494 Active

Practice location

621 Memorial Dr Ste 502
South Bend, IN 46601-1075

Call (574) 647-5875 Map

Mailing address

18101 Lorain Ave
Cleveland, OH 44111-5612

Other practice locations

  • 18101 Lorain Ave, Cleveland, OH 44111-5612 · (216) 475-7344

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X10003694A (IN)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1386190494

Joshua Eric Kwasnicka's National Provider Identifier is 1386190494, issued on Aug 29, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in South Bend, IN. The record was last updated on May 22, 2024.