Organization
DR MIKE DORCIK, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DORCIK DO (PRESIDENT)
(419) 602-1451
Entity
Organization
Contact information
Practice address
12511 MCCULLY DR, BILOXI, MS 39532-9091
(419) 602-1451
Mailing address
12511 MCCULLY DR, BILOXI, MS 39532-9091
(419) 602-1451
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
14179
MS
207Q00000X
Family Medicine Physician
Primary
34.006377
OH
207VG0400X
Gynecology Physician
14179
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114475
—
MS
01
—
11996252
CAQH
MS
Enumeration date
11/06/2007
Last updated
03/07/2023
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