Individual
PAUL G DWORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7373 FRANCE AVE S, SUITE 312, EDINA, MN 55435-4534
(952) 832-0076
(952) 832-9881
Mailing address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 512-5600
(952) 512-5650
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25845
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55A72DW
BLUE CROSS BLUE SHIELD
—
01
—
82193900
WISC MEDICAID
—
01
—
925856
MEDICA
—
01
—
969990824019
PREFERREDONE
—
01
—
HP13209
HEALTHPARNERS
—
Enumeration date
08/22/2006
Last updated
07/10/2007
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