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Individual
PAUL G DWORAK
Active
Individual
PAUL G DWORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25845
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55A72DW
BLUE CROSS BLUE SHIELD
—
01
—
82193900
WISC MEDICAID
—
01
—
925856
MEDICA
—
01
—
969990824019
PREFERREDONE
—
01
—
HP13209
HEALTHPARNERS
—
Enumeration date
08/22/2006
Last updated
07/10/2007
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