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

Individual provider Medical Physician Assistant · NPI 1811037120

Kristen Martin Dziadula, PA is a Physician Assistant in Livonia, Michigan. Qualified in 2002, 24 years ago. Practices with Michigan Post-Acute Medical Services 1 PC, a 26-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2007
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

36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone: (734) 464-0887
Fax: (734) 402-0254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601003837 (MI)

Record details

NPI number1811037120
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESApril 14, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Michigan Post-Acute Medical Services 1 Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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