NPI 1154813210

David R Vavra, MD

Practitioner Surgery Physician Brainerd, MN

Practice location

Address: 2024 S 6th St, Brainerd, MN 56401-4529
Phone: (218) 828-7100
Mailing address: 1702 University Dr S, Fargo, ND 58103-4940

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 76927 (MN)

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Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 72074 (WI)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1154813210
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2018
Record last updated: 7 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.