Johdinann Marsha Olive Hartley Waclawski, PAS
Johdinann Marsha Olive Hartley Waclawski, PAS is a Physician Assistant in Traverse City, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2200 Dendrinos Dr Ste 102Traverse City, MI 49684
Phone: (616) 331-5700
Fax: (616) 331-5999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1013731124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PAS |
| Sole proprietor | No |
| NPI enumerated | November 14, 2024 |
| Last updated in NPPES | November 14, 2024 |
| Certification date | November 14, 2024 |
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Jackson Gutowski, PA
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