Dvorak, Henry M
Dvorak, Henry M is an individual health care provider with primary practice located at 500 S Maple St , Waconia MN 55387-1752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dvorak, Henry M can be contacted via phone (952) 442-2191.Contact Information
Primary practice address
500 S Maple St
Waconia MN 55387-1752
Phone: (952) 442-2191
Fax: (952) 442-6535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38681 | Minnesota |
Profile Details
| NPI number | 1255330247 |
|---|---|
| LBN Legal business name | Dvorak, Henry M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | May 12th, 2008 - about 18 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 | 1255330247 | NPPES |
| Minnesota | MEDICAID | 362227400 |
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