Individual
DR. MICHELLE M. PAVLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1712 DOUSMAN ST, GREEN BAY, WI 54303-3212
(920) 819-0444
Mailing address
1712 DOUSMAN ST, GREEN BAY, WI 54303-3212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4555-012
WI
Other
Enumeration date
11/18/2009
Last updated
02/11/2021
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