MEDICARE: SONJA MARIE DWYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	4704257413	MI

General Provider Information

NPI Number	:	1942148820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONJA MARIE DWYER

Provider Business Mailing Address
First Line	:	325 E H ST
Second Line	:
City	:	IRON MOUNTAIN
State	:	MI
Zip	:	49801-4792
Country	:	US
Telephone Number	:	906-774-3300
Fax Number	:	906-779-3107

Provider Business Practice Location Address
First Line	:	325 E H ST
Second Line	:
City	:	IRON MOUNTAIN
State	:	MI
Zip	:	49801-4792
Country	:	US
Telephone Number	:	906-774-3300
Fax Number	:	906-779-3107

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ SONJA MARIE DWYER ” Practice Location

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