Individual
DOUGLAS MICHAEL PAVLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Mailing address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD12077
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760457154
—
ME
Enumeration date
02/21/2006
Last updated
08/14/2025
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