Individual
DYLAN MIKEL PAVKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
210 SPORTS DR, BIG RAPIDS, MI 49307-2715
(989) 494-8594
Mailing address
210 SPORTS DR, BIG RAPIDS, MI 49307-2715
(989) 494-8594
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002540
MI
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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