Individual
MATTHEW DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 LAKESIDE AVE E, CLEVELAND, OH 44114-1158
(330) 592-6464
Mailing address
1001 LAKESIDE AVE E, CLEVELAND, OH 44114-1158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.16046-NP
OH
Other
Enumeration date
06/18/2014
Last updated
02/12/2015
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