Individual
RAYMOND H WAWROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5700 DARROW ROAD, SUITE 106, HUDSON, OH 44236
(330) 656-9304
Mailing address
8423 MARKET ST, STE 101, BOARDMAN, OH 44512-6778
(330) 729-8700
(330) 729-8701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.000848RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082876
—
OH
Enumeration date
04/06/2006
Last updated
07/11/2017
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