Individual
MARK A. DOROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2085 N CALHOUN RD, BROOKFIELD, WI 53005-5003
(262) 928-7100
(262) 513-7111
Mailing address
N17W24100 RIVERWOOD DR, WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23752
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30437200
—
WI
Enumeration date
02/07/2006
Last updated
10/11/2011
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