Individual
MATTHEW BERNARD PAWLICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 SEVENTH AVE STE 111, CHARDON, OH 44024-7802
(440) 286-8841
(440) 286-8867
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(440) 286-8841
(440) 286-8867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-839943
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2499872
—
OH
01
—
83994
STATE LICENSE
OH
Enumeration date
08/03/2005
Last updated
12/30/2020
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