MR. Michael M Dutkevicz, PA-C
NPI #1902803331 in Bridgeport, West Virginia
Provider Information
- NPI Number
- 1902803331
- Entity Type
- Individual
- Name
- MR. Michael M Dutkevicz, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 30, 2005
- Last Updated
- May 20, 2015
Practice Location
- Address
- 135 PROFESSIONAL PL
- City
- Bridgeport
- State
- West Virginia
- ZIP Code
- 26330-4509
- Phone
- (681) 342-3680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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Organizations
| Provider Name | |
|---|---|
| University Physicians & Surgeons, Inc. |
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