Individual
DR. DOUGLAS DWORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2080 WOODWINDS DR STE 110, WOODBURY, MN 55125
(651) 738-6500
(651) 714-6997
Mailing address
2080 WOODWINDS DR STE 110, WOODBURY, MN 55125-2537
(651) 738-6800
(586) 582-7861
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
60044
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033408299
NPI
MN
01
—
1720173651
TYPE 2 NPI
MN
Enumeration date
03/28/2011
Last updated
06/17/2019
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