NPI 1235629775

Jack Dwyer

Practitioner Health Educator Saint Paul, MN

Practice location

Address: 550 Vandalia St, Saint Paul, MN 55114-1833
Phone: (651) 313-6733

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1235629775
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2018
Record last updated: 10 May 2018

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.