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

Individual provider Internal Medicine Physician · NPI 1306070172

Katie R Kwak, MD is an Internal Medicine in Pontiac, Michigan. Graduated from Wayne State University School of Medicine in 2009, 17 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

44428 Woodward Ave Ste 102
Pontiac, MI 48341-5009
Phone: (248) 858-3126
Fax: (248) 858-6499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301111118 (MI)

Record details

NPI number1306070172
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2009
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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