Individual
DR. BETHANY PACZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-5062
Mailing address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-5062
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34013849
OH
207P00000X
Emergency Medicine Physician
5101021758
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2015
Last updated
07/08/2019
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