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DR. DANA L DWYER M.D.
>> Obstetrics & Gynecology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1376554493
Individual Registrant:DR. DANA L DWYER M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2001 BLAKE AVENUE, SUITE 1A A CENTER FOR WOMEN'S CARE, PC GLENWOOD SPGS, CO 81601 US
Tel: 970-384-2000 Fax: 970-928-8302
Tel: 970-384-2000 Fax: 970-928-8302
Contact information for business:
PO BOX 9768 A CENTER FOR WOMEN'S CARE, PC BELFAST, ME 04915-9768 US
Tel: 970-945-2238 Fax: 970-928-8925
Tel: 970-945-2238 Fax: 970-928-8925
Registration Information:
NPI: 1376554493
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207V00000X | Allopathic & Osteopathic Physicians Obstetrics & Gynecology | MI | 4301080651 |
| Y | 207V00000X | Allopathic & Osteopathic Physicians Obstetrics & Gynecology | CO | 48067 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE DME | 0829560001 | MI | 01 |
| MEDICARE GROUP | 0C16002 | 01 | |
| 104907410 | MI | 05 | |
| BLUE CROSS STATE ID | DD080651 | MI | 01 |
