Eric Maitland Dvorak in Green Bay - Physical Medicine & Rehabilitation

Eric Maitland Dvorak - NPI 1003986845

Eric Maitland Dvorak is a Physical Medicine & Rehabilitation in Green Bay, Wisconsin. Eric Maitland Dvorak practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Eric Maitland Dvorak is 1003986845. The last update date is 2015-05-06.

Eric Maitland Dvorak's current location address is Po Box 23400, Green Bay, Wisconsin. You can contact this provider via phone number 9204457210 and fax number 9204457289. The mailing address for Eric Maitland Dvorak is Po Box 23400, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Maitland Dvorak
Address Po Box 23400, Green Bay, Wisconsin
Phone Number 9204457210
Fax Number 9204457289
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1003986845
Provider Enumeration Date 2006-11-09
Last Updated Date 2015-05-06

Provider Mailing Address Detail

Address Po Box 23400
City Green Bay
State Wisconsin (WI)
Post Code 543052340
Phone Number 9204457210
Fax Number 9204457289

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No 49884-20
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1003986845 WI --

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FAQs about Eric Maitland Dvorak

What is the unique provider identifier assigned to Eric Maitland Dvorak?

The Eric Maitland Dvorak has been issued the NPI (National Provider Identifier) 1003986845 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Eric Maitland Dvorak's facilities are situated?

The facilities of Eric Maitland Dvorak are physically located at the following address: Po Box 23400, Green Bay, WI, 543052340.

What is Eric Maitland Dvorak's area of expertise and its corresponding taxonomy classification?

The Eric Maitland Dvorak's field of specialization is Physical Medicine & Rehabilitation, and it falls under the taxonomy code 208100000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1003986845 to Eric Maitland Dvorak?

The Eric Maitland Dvorak received its 1003986845 assignment from the Centers for Medicare & Medicaid Services on 2006-11-09.

As of what date was the information regarding Eric Maitland Dvorak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Eric Maitland Dvorak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-05-06.

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