Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK R. DVORAK, CRNA
ActiveMARK R. DVORAK, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LAKE GENEVA, Wisconsin. NPI 1699750661 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · LAKE GENEVA, WI
Registration Details
- NPI Number
- 1699750661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2005 (20.666973803424 yrs)
- Last Updated
- Jun 13, 2016
- Licenses
-
104604-030 (WI)1149-33 (WI)
Practice Information
- Address
-
N2950 STATE ROAD 67LAKE GENEVA, WI, 531472655Browse WI providers · Browse ZIP 53147
- Phone
- 2622454990
- Fax
- 2622452248
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Nurse Practitioner
Other Certified Nurse Anesthetist (CRNA) Providers in LAKE GENEVA, WI
| Name | Credential | NPI |
|---|---|---|
| MS. CLAUDIA L PETERSON | CRNA | 1265440838 |
| SAMUEL HARRISON CANNON JR. | CRNA | 1831432996 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.