Robert Pawlak, ATC; PA-C
Physician Assistant, Surgical in Chesterton, IN. Individual provider (NPI-1).
NPI number1982140695
StatusActive
Last updated in NPPESOct 28, 2025
Details
- NPI
- 1982140695
- Entity type
- Individual (NPI-1)
- Name
- Robert Pawlak
- Credential
- ATC; PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2017
- Certification date
- Oct 28, 2025
- Last updated
- Oct 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 10004423A | IN | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 36003150A | IN |
Practice location
601 Gateway Blvd NChesterton, IN 46304-9658
Phone 219-921-1444
Mailing address
601 Gateway Blvd NChesterton, IN 46304-9658
Phone 219-921-1444
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All 16 Surgical Physician Assistant providers in Chesterton · All 693 providers in Chesterton
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