Johdinann Marsha Olive Hartley Waclawski, PAS

NPI #1013731124 in Traverse City, Michigan

Provider Information

NPI Number: 1013731124
Entity Type: Individual
Name: Johdinann Marsha Olive Hartley Waclawski, PAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAS
Enumeration Date: Nov 14, 2024
Last Updated: Nov 14, 2024

Practice Location

Address: 2200 DENDRINOS DRIVE
Address 2: SUITE 102
City: Traverse City
State: Michigan
ZIP Code: 49684
Phone: (616) 331-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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