Dr. Eric Maitland Dvorak
Physical Medicine & Rehabilitation Doctor
744 S Webster Ave
Green Bay
, Wisconsin 54305-2487
Dr. Eric Maitland Dvorak
Physical Medicine & Rehabilitation Doctor
744 S Webster Ave
Green Bay
, Wisconsin 54305-2487
(920) 445-7289
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Eric Maitland Dvorak
- Po Box 23400
- Green Bay, WI
- Zip : 54305-2340
- Fax : (920) 445-7289
- Phone : (920) 445-7210
Second Address
- Dr. Eric Maitland Dvorak
- 744 S Webster Ave
- Green Bay, WI
- Zip : 54305-2487
- Fax : (920) 445-7229
- Phone : (920) 445-7210
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 49884-20 | WI |
National Provider Identifier
| NPI | 1003986845 |
|---|---|
| Provider Name | Dr. Eric Maitland Dvorak |
| First Address | Green Bay, WI 54305-2340 |
| Second Address | Green Bay, WI 54305-2487 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2006 |
| Last Update Date | 06/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003986845 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.