Healthcare Provider Details

I. General information

NPI: 1235045360
Provider Name (Legal Business Name): ERIN RACHAEL DVORAK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W HOUGHTON AVE STE B
WEST BRANCH MI
48661-1244
US

IV. Provider business mailing address

930 E ROSE CITY RD
ROSE CITY MI
48654-9757
US

V. Phone/Fax

Practice location:
  • Phone: 989-387-5683
  • Fax:
Mailing address:
  • Phone: 989-387-5683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: