Individual
ROBERT F WAWRZYNEK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2918 LOUIS SESSIONS ST, LAKE VILLAGE, AR 71653
(870) 265-5343
(870) 265-5686
Mailing address
2918 LOUIS SESSIONS ST, LAKE VILLAGE, AR 71653
(870) 265-5343
(870) 265-5686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA269
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-269
STATE LICENSE
AR
Enumeration date
08/19/2006
Last updated
11/04/2011
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