Individual
MICHAEL LOUIS DWORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 SOQUEL DR, SANTA CRUZ, CA 95065-1700
(831) 462-3050
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A166759
CA
Other
Enumeration date
04/07/2018
Last updated
03/06/2024
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