Provider Demographics
NPI:1760764476
Name:DWOREK, DONALD CHARLES (DO)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:CHARLES
Last Name:DWOREK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:54 RODERICK RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1843
Mailing Address - Country:US
Mailing Address - Phone:614-565-4067
Mailing Address - Fax:
Practice Address - Street 1:54 RODERICK RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-1843
Practice Address - Country:US
Practice Address - Phone:614-565-4067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1038552084N0400X
OK87902084N0400X
WV37852084N0400X
PAOS0164752084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology