Individual
DR. CHRISTOPHER DANIEL PAVELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-3280
(812) 885-3459
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-3280
(812) 885-3459
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02003245A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000599359
ANTHEM
IN
01
—
02003245A
STATE LICENSE
—
05
—
200882790
—
IN
01
—
868110
HEALTHLINKS
—
01
—
P00670406
RAILROAD MEDICARE
IN
Enumeration date
07/30/2007
Last updated
07/13/2017
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