Individual
MARK DOERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
23823 FORD RD, DEARBORN, MI 48128-1206
(313) 277-4146
Mailing address
23823 FORD RD, DEARBORN, MI 48128-1206
(313) 277-4146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007967
MI
Other
Enumeration date
07/24/2016
Last updated
07/05/2023
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