Individual
TAMARA K PYLAWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1389 N BALDWIN AVE, MARION, IN 46952-1913
(765) 664-2671
(765) 664-3703
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 664-2671
(765) 664-3703
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01076966A
IN
207X00000X
Orthopaedic Surgery Physician
036-133317
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036133317
—
IL
05
—
201388550
—
IN
01
—
207610021
MEDICARE
IN
Enumeration date
05/03/2007
Last updated
11/15/2016
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