Individual
MR. MATTHEW JOSEPH PAWLACZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7200
Mailing address
6049 FOUNTAIN POINTE APT 9, GRAND BLANC, MI 48439-7786
(419) 260-0462
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019945
OH
Other
Enumeration date
07/22/2019
Last updated
09/16/2019
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