Individual
DR. PAUL R DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 BYRON CENTER AVE, METRO HEALTH HOSPITAL, WYOMING, MI 49519
(616) 363-7123
Mailing address
PO BOX 2184, CERTIFIED EMERGENCY MEDICINE, GRAND RAPIDS, MI 49501-2184
(616) 363-7867
(616) 363-9432
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P7429
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
PD058917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3062437
—
MI
05
—
327124YKN5
—
TX
05
—
327613101
—
TX
01
—
930015754
RAILROAD MEDICARE
MI
Enumeration date
02/15/2006
Last updated
04/17/2014
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