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Individual

DR. GERALDINE L PAWLIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
18181 OAKWOOD BLVD, STE 209, DEARBORN, MI 48124-5032
(313) 271-8560
(313) 271-2831
Mailing address
18181 OAKWOOD BLVD, SUITE 209, DEARBORN, MI 48124-5032
(313) 271-8560
(313) 271-2831

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301066774
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02-0822050-1
BCBSM INDIVIDUAL PIN#
MI
01
020H263670
BCBSM GROUP PIN#
MI
05
3185722
MI
01
C3203
MCARE INDIVIDUAL PIN#
MI
Enumeration date
02/14/2006
Last updated
03/05/2010
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