MARK DVORAK, CRNA
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1699750661
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 104604-030 (WI) |
| Nurse Practitioner | 363L00000X | No | 1149-33 (WI) |
Frequently Asked Questions
NPI 1699750661 is the National Provider Identifier for MARK DVORAK, CRNA, a Nurse Anesthetist, Certified Registered provider located in Lake Geneva, WI. This NPI was enumerated on December 13, 2005.
MARK DVORAK, CRNA practices at N2950 STATE ROAD 67, Lake Geneva, WI 53147.
Quick Facts
- NPI
- 1699750661
- Type
- Individual
- Enumerated
- Dec 13, 2005
- Last Updated
- Jun 13, 2016
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