Susan J Dvorak is a Medical in Grand Forks, North Dakota. Susan J Dvorak practices all healthcare services and medical treatments related to Medical. The NPI Number for Susan J Dvorak is 1528136538. The last update date is 2007-07-08.
Susan J Dvorak's current location address is Po Box 6002, Grand Forks, North Dakota. You can contact this provider via phone number 7017805345 and fax number 7017801942. The mailing address for Susan J Dvorak is Po Box 6002, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J Dvorak |
|---|---|
| Address | Po Box 6002, Grand Forks, North Dakota |
| Phone Number | 7017805345 |
| Fax Number | 7017801942 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1528136538 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 6002 |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582066002 |
| Phone Number | 7017805345 |
| Fax Number | 7017801942 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PAC0353 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11ND1DV | MN | BCBS MN | |
| 27352 | ND | BCBS ND |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan J Dvorak by the Centers for Medicare & Medicaid Services?
The Susan J Dvorak has been issued the NPI (National Provider Identifier) 1528136538 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Susan J Dvorak is physically located?
The Susan J Dvorak is situated at the following address: Po Box 6002, Grand Forks, ND 582066002.
What is Susan J Dvorak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan J Dvorak is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Susan J Dvorak receive its 1528136538 assignment from the Centers for Medicare & Medicaid Services?
The Susan J Dvorak was assigned its 1528136538 by the Centers for Medicare & Medicaid Services on 2006-11-30.
When was the information regarding Susan J Dvorak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan J Dvorak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC