Dwyer, Mark William

Dwyer, Mark William is an individual health care provider with primary practice located at 18100 Oakwood Blvd #300, Dearborn MI 48124-4085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dwyer, Mark William can be contacted via phone (313) 438-7970.

Contact Information

Primary practice address
18100 Oakwood Blvd #300 Dearborn MI 48124-4085
Fax: (313) 438-7975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301095362 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35.123293 Ohio

Profile Details

NPI number 1922254028
LBN Legal business name Dwyer, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Oct 22nd, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922254028 NPPES
Ohio MEDICAID 0104496

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