Individual
ELIZABETH WALLIN PAWLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
160 DEMAREE DR, MADISON, IN 47250-4622
(812) 273-8744
Mailing address
160 DEMAREE DR, MADISON, IN 47250-4622
(812) 273-8744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009881
IN
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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