Individual
JUSTIN ARTHUR GAWLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MATC, COLUMBIA, MO 65211-0001
(262) 210-5930
Mailing address
100 MATC, COLUMBIA, MO 65211-0001
(262) 210-5930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014020534
MO
Other
Enumeration date
06/19/2019
Last updated
11/27/2023
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