Individual
SUSAN M DORENBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3183 N NATIONAL RD, COLUMBUS, IN 47201-3164
(812) 372-1581
(812) 376-4028
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 375-3000
(812) 375-3477
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01039024
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000511861
ANTHEM
IN
01
—
000000984533
ANTHEM PIN
IN
05
—
100384130A
—
IN
Enumeration date
12/21/2005
Last updated
07/11/2019
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