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1003986845
ERIC MAITLAND DVORAK
GREEN BAY, WI
NPI
1003986845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WI 49884-20)
Enumeration Date
2006-11-09
Last Update Date
2015-05-06
Business Address
Dr. ERIC MAITLAND DVORAK M.D.
744 S WEBSTER AVE
GREEN BAY, WI 54305-2487
Phone number: 920-445-7210
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Mailing Address
Dr. ERIC MAITLAND DVORAK M.D.
PO BOX 23400
GREEN BAY, WI 54305-2340
Phone number: 920-445-7210
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