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Individual

BRIAN J DVORAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10392
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40452200
WI
01
61270
DEAN HEALTH SYSTEMS
WI
Enumeration date
08/17/2006
Last updated
12/20/2011
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