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MICHAEL WIECZORKOWSKI, PA-C, ATC

PA-C, ATC

Medical Physician Assistant

NPI: 1629506753IndividualAccepts Medicare

Specialties, Licenses & Credentials

Athletic Trainer

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

AT5781(TX)
Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

PA17404(TX)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2023

Contact & Hours

Via practice · 2 locations total

Address
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209

Locations (2)

Practice Location

921 S 8TH AVE STOP 8253, POCATELLO, ID
(208) 282-4726

Practice Location

400 CONCORD PLAZA DR STE 300, SAN ANTONIO, TX
(210) 804-5911

Quick Facts

NPI
1629506753
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
2
Years in Practice
3

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