Individual
DR. MICHELE LYNN PAVELSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
182 MAIN ST, NEW MILFORD, PA 18834-2114
(570) 465-3444
(570) 465-5400
Mailing address
182 MAIN ST, PO BOX 484, NEW MILFORD, PA 18834-2114
(570) 465-3444
(570) 465-5400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0078136
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018053640001
—
PA
01
—
2374009
AETNA
PA
01
—
838244
BLUE SHIELD
PA
Enumeration date
10/06/2005
Last updated
07/08/2007
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