Individual provider · Type 1 NPI

Michael Wieczorkowski, PA-C, ATC

Medical Physician Assistant · San Antonio, TX

NPI number 1629506753 Active

Practice location

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991

Other practice locations

  • 921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 · (208) 282-4726

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAT5781 (TX)
Medical Physician Assistant 363AM0700XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XPA17404 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1629506753

Michael Wieczorkowski, PA-C, ATC's National Provider Identifier is 1629506753, issued on Jun 2, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Antonio, TX. The record was last updated on Nov 6, 2023.