Individual
DR. MARTIN HENRY PLAWECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1002 WISHARD BLVD., SUITE 4110, INDIANAPOLIS, IN 46202
(317) 944-8162
(317) 948-0609
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01066651A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01066651A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000773413
ANTHEM
IN
05
—
201028720
—
IN
01
—
P01108601
RAILROAD MEDICARE
IN
Enumeration date
05/21/2008
Last updated
06/15/2021
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