Individual
THOMAS BRIAN PAWLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
Mailing address
12613 STONEBORO CT, FORT WAYNE, IN 46845-9580
(260) 637-7357
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000550A
IN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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