Individual
DR. PAMELA D DOORENBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9825 HOSPITAL DR, SUITE 300, MAPLE GROVE, MN 55369-4479
(763) 494-7500
(763) 494-7501
Mailing address
9825 HOSPITAL DR, SUITE 300, MAPLE GROVE, MN 55369-4479
(763) 587-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37965
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096522700
—
MN
Enumeration date
06/22/2006
Last updated
05/20/2016
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