Individual
KENNETH DORNFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8364
Mailing address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
34808
IA
2085R0001X
Radiation Oncology Physician
Primary
49970
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679487000
—
MN
Enumeration date
08/10/2005
Last updated
05/19/2011
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