Provider Demographics
NPI:1780665380
Name:BIELAWSKI, JOHN MICHAEL (ATC, MSM)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:MICHAEL
Last Name:BIELAWSKI
Suffix:
Gender:M
Credentials:ATC, MSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7646 BUSH AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-3511
Mailing Address - Country:US
Mailing Address - Phone:410-437-8689
Mailing Address - Fax:410-437-8689
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:SUITE 350
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2867
Practice Address - Country:US
Practice Address - Phone:410-554-2253
Practice Address - Fax:410-554-2160
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer