Individual
DR. MICHEAL CORY DEARBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
DO2965
ME
2085N0904X
Nuclear Radiology Physician
V5255
TX
2085R0202X
Diagnostic Radiology Physician
036174189
IL
2085R0202X
Diagnostic Radiology Physician
DO2965
ME
2085R0202X
Diagnostic Radiology Physician
Primary
V5255
TX
Other
Enumeration date
02/22/2018
Last updated
04/30/2026
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