Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael M Dutkevicz, PA-C

Individual provider Physician Assistant · NPI 1902803331

Mr. Michael M Dutkevicz, PA-C is a Physician Assistant in Bridgeport, West Virginia. Licensed in West Virginia. Registered with an NPI since 2005.

Licensed in
WV
In the registry since
2005
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

135 Professional Pl
Bridgeport, WV 26330-4509
Phone: (681) 342-3680
Fax: (681) 342-3665
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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 1809 (WV)

Record details

NPI number1902803331
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 30, 2005
Last updated in NPPESMay 20, 2015

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