National Provider Identifier

Michael J Wiewiorski, PA

Michael J Wiewiorski, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Niagara Falls, NY and a listed phone number of (716) 257-1254.

NPI 1669636460Niagara Falls, NYPhysician Assistant

Profile Overview

NPI
1669636460
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 11, 2008
Last Updated
August 23, 2024

Practice Location

  • 3117 Military RD
  • Niagara Falls, NY 14304-4813

Phone: (716) 257-1254

Specialties

  • Physician Assistant (363A00000X)
  • Physician Assistant (363A00000X)

Endpoints

  • mwiewiorski404790@direct.novanthealth.org

    Direct Messaging Address | Matthews, NC 28105

Full Record
NPI
1669636460
Entity Type
Individual
Last Name
Wiewiorski
First Name
Michael
Middle Name
J
Credential
PA
Mailing Street Address
3117 Military RD
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-4813
Mailing Country
US
Mailing Phone
(716) 257-1254
Mailing Fax
(716) 215-6170
Practice Street Address
3117 Military RD
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14304-4813
Practice Country
US
Practice Phone
(716) 257-1254
Practice Fax
(716) 215-6170
Enumeration Date
July 11, 2008
Last Updated
August 23, 2024
Sex
Male
Sole Proprietor
No
Certification Date
August 23, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Physician Assistant (363A00000X)
Other Identifiers
000530695001 (NY, Blue Cross Wny), 9515265 (NY, Independent Health)