Individual
BRUCE V DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4368
(630) 208-3489
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4368
(630) 208-3489
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD11331
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231084
HMSA
HI
05
—
50218901
—
HI
01
—
MD11331
QUEENS
HI
Enumeration date
11/07/2006
Last updated
12/08/2008
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