Individual
BARBARA PAWLACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6800
(989) 583-6915
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6800
(989) 583-6915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067892
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0731197
BCBSM
MD
01
—
152199
GREAT LAKES HEALTH PLAN
MI
05
—
1902992621
—
MI
01
—
381870664
TAX ID
MI
01
—
700G360210
BCBSM
MI
01
—
BP067892
LICENSE
MI
Enumeration date
10/04/2006
Last updated
04/09/2021
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