Individual
DR. KEVIN MICHAEL DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. FACS
Contact information
Practice address
30 SHELBURNE RD, TRAUMA SERVICES, STAMFORD, CT 06902-3628
(203) 276-7467
(203) 276-7020
Mailing address
30 SHELBURNE RD, TRAUMA SERVICES, STAMFORD, CT 06902-3628
(203) 276-7467
(203) 276-7020
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
46891
CT
2086S0102X
Surgical Critical Care Physician
Primary
46891
CT
2086S0127X
Trauma Surgery Physician
46891
CT
Other
Enumeration date
02/23/2006
Last updated
12/21/2015
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