IndividualActive
Joshua Kwasnicka
NPI 1386190494 · Surgical Physician Assistant · South Bend, IN
Provider details
- NPI number
- 1386190494
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10003694A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
621 Memorial Dr Ste 502
South Bend, IN 46601-1075
Phone: (574) 647-5875
Approximate (ZIP-level) locationGet directions
Mailing address
18101 Lorain Ave
Cleveland, OH 44111-5612
Additional practice locations (1)
- 18101 Lorain AveCleveland, OH 44111-5612Phone: (216) 475-7344
Registry dates
- Enumerated
- 2016-08-29
- Last updated
- 2024-05-22
- Certified
- 2023-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.