SUSAN J DVORAK PA NPI 1528136538

NPI Information

  • NPI: 1528136538
  • Provider Name: SUSAN J DVORAK, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 1000 S COLUMBIA RD
    GRAND FORKS, ND
    ZIP 58201
  • Phone: (701) 780-5345

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NPI Details

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
1363AM0700XPhysician AssistantMedicalPAC0353NORTH DAKOTAYes

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
127352OTHERNORTH DAKOTABCBS ND
211ND1DVOTHERMINNESOTABCBS MN
3R80873MEDICARE 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: 3/30/2025

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