Brian J Dvorak is a Orthopedic in Beaver Dam, Wisconsin. Brian J Dvorak practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Brian J Dvorak is 1588777999. The last update date is 2011-12-20.
Brian J Dvorak's current location address is 118 W Maple Ave, Beaver Dam, Wisconsin. You can contact this provider via phone number 9203561000 and fax number 9203560719. The mailing address for Brian J Dvorak is 118 W Maple Ave, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian J Dvorak |
|---|---|
| Address | 118 W Maple Ave, Beaver Dam, Wisconsin |
| Phone Number | 9203561000 |
| Fax Number | 9203560719 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1588777999 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2011-12-20 |
Provider Mailing Address Detail
| Address | 118 W Maple Ave |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539162104 |
| Phone Number | 9203561000 |
| Fax Number | 9203560719 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 10392 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40452200 | WI | -- | |
| 61270 | WI | DEAN HEALTH SYSTEMS |
Post Comment/ Review Below
What is the Brian J Dvorak's unique identification number?
The Brian J Dvorak has been assigned the NPI (National Provider Identifier) Number 1588777999 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Brian J Dvorak's facilities are situated?
The facilities of Brian J Dvorak are physically located at the following address: 118 W Maple Ave, Beaver Dam, WI, 539162104.
What is Brian J Dvorak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brian J Dvorak is Orthopedic, and the corresponding taxonomy classification code for this specialized field is 2251X0800X.
When was the Brian J Dvorak's 1588777999 issued?
The Brian J Dvorak's 1588777999 was issued on 2006-08-17.
When was the information pertaining to Brian J Dvorak most recently updated or revised?
The details related to Brian J Dvorak, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-20.