Dworak, Douglas
Dworak, Douglas is an individual health care provider with primary practice located at 2080 Woodwinds Dr Ste 110 , Woodbury MN 55125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Dworak, Douglas can be contacted via phone (651) 738-6500.Contact Information
Primary practice address
2080 Woodwinds Dr Ste 110
Woodbury MN 55125
Phone: (651) 738-6500
Fax: (651) 714-6997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 60044 | Minnesota |
Profile Details
| NPI number | 1033408299 |
|---|---|
| LBN Legal business name | Dworak, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2011 |
| Last updated | Jun 17th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033408299 | NPPES |
| Minnesota | Other | 1720173651 | TYPE 2 NPI |
| Minnesota | Other | 1033408299 | TYPE 2 NPI |
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