Healthcare Provider Details

I. General information

NPI: 1992768964
Provider Name (Legal Business Name): RAYMOND G DORHOUT RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 E PIERSON RD
FLUSHING MI
48433-1817
US

IV. Provider business mailing address

2348 PLAINVIEW DR
FLUSHING MI
48433-9440
US

V. Phone/Fax

Practice location:
  • Phone: 810-659-8057
  • Fax: 810-659-4099
Mailing address:
  • Phone: 810-287-5365
  • Fax: 810-659-4099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5302024337
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302024337
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: