SearchWyoming163WH0200X

Michelle Dvorak

NPI 1083161517 · on the registry since 2016 · sole proprietor

Practice

Address
811 Mountain View Dr
Apt 107
Gillette, WY 82716
Phone
(307) 660-1303
Fax
(307) 257-2695

Registry record

Primary taxonomy
163WH0200X
163WH0200X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming