Individual
DR. MICHAEL DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DOCTOR OF CHIROPR
Contact information
Practice address
3914 HICKORY AVE, BALTIMORE, MD 21211-1834
(410) 662-4476
(410) 662-9884
Mailing address
3914 HICKORY AVE, BALTIMORE, MD 21211-1834
(410) 662-4476
(410) 662-9884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
501922
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1091702
HIPPA
—
Enumeration date
08/04/2006
Last updated
02/23/2012
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