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Individual
DR. MICHAEL DORN
Active
Individual
DR. MICHAEL DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DOCTOR OF CHIROPR
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
501922
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1091702
HIPPA
—
Enumeration date
08/04/2006
Last updated
02/23/2012
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