Individual
JUSTIN J DWORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP, CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8858
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689010431
—
WI
Enumeration date
05/21/2013
Last updated
07/18/2024
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