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Individual
DR. TRACY A DORHEIM
Active
Individual
DR. TRACY A DORHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
17733
NE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
31536
IA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD-16312
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1935692
—
IA
05
—
208618314
—
MO
01
—
330005611
RAILROAD
NE
01
—
35225
BCBS NE
NE
01
—
43492
BCBS IA
IA
01
—
4707367990008
UPREHS
NE
01
—
5111
MIDLANDS CHOICE
NE
Enumeration date
01/19/2006
Last updated
06/09/2021
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