Healthcare Provider Details

I. General information

NPI: 1245854488
Provider Name (Legal Business Name): JAMES DOROSH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2020
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4175 N EUCLID AVE
BAY CITY MI
48706-2483
US

IV. Provider business mailing address

1900 COLUMBUS AVE
BAY CITY MI
48708-6880
US

V. Phone/Fax

Practice location:
  • Phone: 989-891-8112
  • Fax:
Mailing address:
  • Phone: 517-975-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number5101028797
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: