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Individual

DR. ANDREW EDWARD DORWART

Active
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Individual

DR. ANDREW EDWARD DORWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33750
MN
207R00000X
Internal Medicine Physician
41640
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31840300
WI
05
801303900
MN
Enumeration date
10/25/2005
Last updated
03/16/2021
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