Wardowski, Kenneth Mark

Wardowski, Kenneth Mark is an individual health care provider with primary practice located at 16001 W 9 Mile Rd Dept Of Surgery, Southfield MI 48075-4818. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wardowski, Kenneth Mark can be contacted via phone (248) 849-3000.

Contact Information

Primary practice address
16001 W 9 Mile Rd Dept Of Surgery Southfield MI 48075-4818
Phone: (248) 849-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002147 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 56010002147 Michigan

Profile Details

NPI number 1831190305
LBN Legal business name Wardowski, Kenneth Mark
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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