person
Susan J Dvorak, PA
Medical Physician Assistant in Grand Forks, North Dakota
NPI 1528136538

Susan J Dvorak is a Medical Physician Assistant based in Grand Forks, ND and is specialized in Medical. Susan J Dvorak practices in Grand Forks, ND and has the professional credentials of PA. The NPI Number for Susan J Dvorak is 1528136538 and holds a License No. PAC0353 (North Dakota).

The current practice location address for Susan J Dvorak is 1000 S Columbia Rd, Grand Forks, ND and can be reached out via phone at 701-780-5345 and via fax at 701-780-1942. You can also correspond with Susan J Dvorak through the mailing address at PO BOX 6002, GRAND FORKS, ND - 58206-6002 (mailing address contact number: 701-780-5345).

Location: 1000 S Columbia Rd, Grand Forks, ND, 58206-6002
person
Provider Profile Details
NPI Number
1528136538
Provider Name
Susan J Dvorak
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1000 S Columbia Rd, Grand Forks, ND, 58206-6002
Phone Number
701-780-5345
Fax Number
701-780-1942
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11ND1DV 01 MN BCBS MN
27352 01 ND BCBS ND
institution
Provider Business Practice Location Address Details
Address
1000 S Columbia Rd
City
State
Zip
58201-4036
Phone Number
701-780-5345
Fax Number
701-780-1942
person
Provider Business Mailing Address Details
Address
1000 S Columbia Rd
City
State
Zip
58201-4036
Phone Number
701-780-5345
Fax Number
701-780-1942
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PAC0353 (North Dakota)
Definition
Definition to come...
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