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

Diane Stephanie Kaczmarek, PA

Individual provider Physician Assistant · NPI 1023068863

Diane Stephanie Kaczmarek, PA is a Physician Assistant in Clinton Twp, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

36367 Harper Ave
Clinton Twp, MI 48035-2958
Phone: (586) 791-6868
Fax: (586) 791-5071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601001308 (MI)

Record details

NPI number1023068863
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESSeptember 8, 2016

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