Stephen Pavlock in Midland - Diagnostic Radiology
Stephen Pavlock - NPI 1124048160
Stephen Pavlock is a Diagnostic Radiology in Midland, Michigan. Stephen Pavlock practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Stephen Pavlock is 1124048160. The last update date is 2012-05-24.
Stephen Pavlock's current location address is 4000 Wellness Dr, Midland, Michigan. You can contact this provider via phone number 9898393408. The mailing address for Stephen Pavlock is 4000 Wellness Dr, Midland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Pavlock |
|---|---|
| Address | 4000 Wellness Dr, Midland, Michigan |
| Phone Number | 9898393408 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124048160 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2012-05-24 |
Provider Mailing Address Detail
| Address | 4000 Wellness Dr |
|---|---|
| City | Midland |
| State | Michigan (MI) |
| Post Code | 486700001 |
| Phone Number | 9898393408 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | SP057702 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1124048160 | MI | -- | |
| 300E676040 | MA | BLUE CROSS |
Post Comment/ Review Below
What is the Stephen Pavlock's 1124048160?
The Stephen Pavlock's NPI (National Provider Identifier) Number is 1124048160. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stephen Pavlock is physically located?
The Stephen Pavlock is physically situated at the following address: 4000 Wellness Dr, Midland, MI, 486700001.
What is the Stephen Pavlock's specialty and taxonomy code?
The Stephen Pavlock's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Stephen Pavlock receive its 1124048160 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Pavlock was assigned its 1124048160 by the Centers for Medicare & Medicaid Services on 2006-07-20.
When was the information regarding Stephen Pavlock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stephen Pavlock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-24.