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

Mr. Matthew Nedwicki, PA-C

Individual provider Physician Assistant · NPI 1134520042

Mr. Matthew Nedwicki, PA-C is a Physician Assistant in Detroit, Michigan. Qualified in 2014, 12 years ago. Practices with Munson Healthcare Otsego Memorial Hospital, a 123-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4771 Michigan Ave
Detroit, MI 48210-3247
Phone: (313) 897-2600
Fax: (313) 897-2424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 825 N Center Ave, Gaylord, MI 49735-1592 — (989) 731-2100
  • 1619 Anderson Rd, Petoskey, MI 49770-9256 — (231) 417-6050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007113 (MI)

Record details

NPI number1134520042
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2014
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Munson Healthcare Otsego Memorial Hospital — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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