Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christine Kucyk

Individual provider Physician Assistant · NPI 1063036747

Christine Kucyk is a Physician Assistant in Clinton Township, Michigan. Qualified in 2020, 6 years ago. Practices with Henry Ford Macomb Hospital Corporation, a 339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone: (586) 263-2980
Fax: (586) 263-2825
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 — (586) 770-9665

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010040 (MI)

Record details

NPI number1063036747
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2020
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Henry Ford Macomb Hospital Corporation — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clinton Township