Provider Demographics
NPI:1568476075
Name:PAWSAT, DAVID ETHAN (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ETHAN
Last Name:PAWSAT
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1520 RAMBLEWOOD DR.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823
Mailing Address - Country:US
Mailing Address - Phone:517-324-9400
Mailing Address - Fax:517-324-9482
Practice Address - Street 1:1520 RAMBLEWOOD DR.
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823
Practice Address - Country:US
Practice Address - Phone:517-324-9400
Practice Address - Fax:517-324-9482
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2011-02-01
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Provider Licenses
StateLicense IDTaxonomies
MI5101011714207PE0004X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services