MEDICARE: MR. MICHAEL N. DOHN MD

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	207R00000X	Internal Medicine Physician	35045531	OH
2	207R00000X	Internal Medicine Physician	21151	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730504044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL N. DOHN MD

Provider Business Mailing Address
First Line	:	117 S MAIN ST
Second Line	:	MEDICAL BILLING - SECOND FLOOR
City	:	DAYTON
State	:	OH
Zip	:	45422-2005
Country	:	US
Telephone Number	:	937-225-4550
Fax Number	:	937-496-7613

Provider Business Practice Location Address
First Line	:	117 S MAIN ST
Second Line	:	REIBOLD BUILDING
City	:	DAYTON
State	:	OH
Zip	:	45422-2005
Country	:	US
Telephone Number	:	937-225-4550
Fax Number	:	937-496-7613

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

Provider Enumeration Date	:	02/24/2014
Last Update Date	:	12/13/2016

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