Individual
DR. DAVID A DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9515
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9515
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01069190A
IN
207P00000X
Emergency Medicine Physician
Primary
36271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64019482
—
KY
Enumeration date
08/09/2006
Last updated
04/13/2020
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