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Individual

JUSTIN EDWARD DVORAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-1639
(216) 778-2338
Mailing address
1931 COLUMBUS RD, CLEVELAND, OH 44113-3540
(561) 843-3232

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.139898
OH
2086S0102X
Surgical Critical Care Physician
Primary
35.139898
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0411752
OH
Enumeration date
04/12/2013
Last updated
09/09/2020
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