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Individual

DR. MARK WILLIAM DWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18100 OAKWOOD BLVD, #300, DEARBORN, MI 48124-4085
(313) 438-7970
(313) 438-7975
Mailing address
18100 OAKWOOD BLVD, #300, DEARBORN, MI 48124-4085
(313) 438-7970
(313) 438-7975

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.123293
OH
207X00000X
Orthopaedic Surgery Physician
Primary
4301095362
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0104496
OH
Enumeration date
08/08/2008
Last updated
10/22/2015
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