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Individual

DR. JASON DOPPELT

Active
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Individual

DR. JASON DOPPELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301098390
MI
207X00000X
Orthopaedic Surgery Physician
NA
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0520255
BLUE CROSS BLUE SHIELD OF MI
MI
05
1528203247
MI
Enumeration date
12/09/2008
Last updated
10/14/2016
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