Individual
DONALD A PAVELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 OSBORNE RD NE, SUITE 260, FRIDLEY, MN 55432-2765
(763) 783-8155
(763) 783-1373
Mailing address
500 OSBORNE RD NE, SUITE 260, FRIDLEY, MN 55432-2765
(763) 783-8155
(763) 783-1373
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
27008
MN
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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