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

Individual provider Physician Assistant · NPI 1770574634

Kellie A Laskowski, PAC is a Physician Assistant in Muskegon, Michigan. Qualified in 2001, 25 years ago. Practices with Brian Gluck DO PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1325 E Sherman Blvd
Muskegon, MI 49444-1813
Phone: (231) 737-8446
Fax: (231) 737-0510
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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 5601003618 (MI)

Record details

NPI number1770574634
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESFebruary 7, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Brian Gluck Do Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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