Individual
DR. PETER M PAVLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3533 SOUTHERN BLVD, STE 5650, KETTERING, OH 45429-1264
(937) 294-3611
(937) 294-9010
Mailing address
3533 SOUTHERN BLVD, STE 5650, DAYTON, OH 45429-1264
(937) 294-3611
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35058244
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0743039
—
OH
Enumeration date
07/08/2005
Last updated
01/06/2021
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