Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Katie Lyn Rutkowski, PA-C

Individual provider Physician Assistant · NPI 1689956633

Mrs. Katie Lyn Rutkowski, PA-C is a Physician Assistant in Clarkston, Michigan. Qualified in 2011, 15 years ago. Practices with Michigan Healthcare Professionals PC, a 520-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
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

5701 Bow Pointe Dr Ste 100
Clarkston, MI 48346-3199
Phone: (248) 625-2621
Fax: (248) 625-2622
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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 5601006183 (MI)

Record details

NPI number1689956633
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2011
Last updated in NPPESAugust 1, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Michigan Healthcare Professionals Pc — 520 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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