Provider Demographics
NPI:1861658619
Name:PAWLIKOWSKI, MARIA PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:PATRICIA
Last Name:PAWLIKOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:14897 CLAYTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7887
Mailing Address - Country:US
Mailing Address - Phone:636-391-1706
Mailing Address - Fax:636-391-1201
Practice Address - Street 1:14897 CLAYTON RD STE 100
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-7887
Practice Address - Country:US
Practice Address - Phone:636-391-1706
Practice Address - Fax:636-391-1201
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007011515207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA1468002Medicare PIN