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

Individual provider Physician Assistant · NPI 1831190305

Kenneth Mark Wardowski, PA is a Physician Assistant in Southfield, Michigan. Qualified in 1992, 34 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
34
Licensed in
MI
In the registry since
2005
Specialties on file
2
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

16001 W 9 Mile Rd Dept OF Surgery
Southfield, MI 48075-4818
Phone: (248) 849-3000
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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 5601002147 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 56010002147 (MI)

Record details

NPI number1831190305
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESMarch 7, 2023
Mailing address16001 W 9 Mile Rd, Dept Of Surgery, Southfield, MI 48075-4818

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Southfield