Individual
DR. JOHN HENRY DORSEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
195 FORE RIVER PARKWAY, SUITE 120, PORTLAND, ME 04102
(207) 761-3889
(207) 761-1874
Mailing address
195 FORE RIVER PARKWAY, SUITE 120, PORTLAND, ME 04102
(207) 761-3889
(207) 761-1874
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD144
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428010099
—
ME
01
—
441480540
RAIL ROAD MEDICARE
ME
Enumeration date
01/18/2006
Last updated
09/11/2008
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