Individual
CRAIG PAWLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 MICHIGAN AVE, LOGANSPORT, IN 46947-1580
(574) 753-7541
Mailing address
1201 MICHIGAN AVE STE 330, LOGANSPORT, IN 46947-1570
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01062105A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000565174
BLUE CROSS
IN
05
—
200818440
—
IN
Enumeration date
05/17/2006
Last updated
01/09/2025
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