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Individual
MR. MICHAEL J JAWORSKI
Active
Individual
MR. MICHAEL J JAWORSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02337
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132802
ANTHEM BLUECROSS BLUESHIE
OH
01
—
34149051700
OHIO BUREAU OF WORKERS CO
OH
01
—
341490517034
CARESOURCE
OH
01
—
4297901
MEDICARE PTAN
—
01
—
654140
AETNA
OH
Enumeration date
05/10/2006
Last updated
12/29/2011
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