Individual
JOSEPH PAVLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 EASTLAND RD, BEREA, OH 44017-2005
(330) 631-4047
Mailing address
275 EASTLAND RD, BEREA, OH 44017-2005
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/01/2022
Last updated
06/13/2023
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