Individual
DR. JAMES DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5775 WAYZATA BLVD STE 190, SAINT LOUIS PARK, MN 55416-2627
(952) 541-1840
(952) 543-6524
Mailing address
PO BOX 1450 NW 6035, MINNEAPOLIS, MN 55485-1450
(866) 674-7933
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
64568
MN
208VP0000X
Pain Medicine Physician
64568
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2016
Last updated
08/25/2021
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