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NPI Code Detail

MEDICARE: PATRICIA ANN DOERR

MEDICARE: PATRICIA ANN DOERR
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
1122300000XDentist2901017985MI

General Provider Information

NPI Number : 1518983022
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN DOERR
Provider Business Mailing Address
First Line : 1011 N UNIVERSITY AVE
Second Line :
City : ANN ARBOR
State : MI
Zip : 48109-1078
Country : US
Telephone Number : 734-763-3335
Fax Number :
Provider Business Practice Location Address
First Line : 1011 N UNIVERSITY AVE
Second Line :
City : ANN ARBOR
State : MI
Zip : 48109-1078
Country : US
Telephone Number : 734-763-3335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 08/30/2021

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Directions to “ PATRICIA ANN DOERR ” Practice Location

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