Individual
DR. PETER ANDREW MORAWIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAVAL HEALTH CLINIC GREAT LAKES, LABORATORY DEPT, 3001 A SIXTH ST, GREAT LAKES, IL 60088
(847) 688-4880
Mailing address
33173 N COVE RD, WILDWOOD, IL 60030-2104
(847) 223-5161
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01053664
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Enumeration date
09/19/2005
Last updated
07/08/2007
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