Provider Demographics
NPI:1548285521
Name:SLAWINSKI, THOMAS P (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:SLAWINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:99 NORTHLINE CIR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44119-1482
Mailing Address - Country:US
Mailing Address - Phone:216-692-1100
Mailing Address - Fax:216-692-1416
Practice Address - Street 1:99 NORTHLINE CIR
Practice Address - Street 2:SUITE 225
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-1482
Practice Address - Country:US
Practice Address - Phone:216-692-1100
Practice Address - Fax:216-692-1416
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35056381208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT34158729300OtherBUREAU WORKERS COMP
OH0698660Medicaid
OH0698660Medicaid
OHSL0614511Medicare ID - Type Unspecified