SUSAN J DVORAK PA NPI 1528136538

NPI Information

NPI: 1528136538
Provider Name: SUSAN J DVORAK, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1000 S COLUMBIA RD
GRAND FORKS, ND
ZIP 58201
Phone: (701) 780-5345
Get Directions

Susan J Dvorak, PA is a medical physician assistant in Grand Forks, ND. Susan J Dvorak, PA NPI is 1528136538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 S COLUMBIA RD
GRAND FORKS, ND
ZIP 58201-036
Phone: (701) 780-5345
Fax: (701) 780-1942

The enumeration date for this NPI number is 11/30/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PAC0353	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	27352	OTHER	NORTH DAKOTA	BCBS ND
2	11ND1DV	OTHER	MINNESOTA	BCBS MN
3	R80873	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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