Individual
DR. DOUGLAS DWORAK
Active
Individual
DR. DOUGLAS DWORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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