Individual
MS. CONNIE MARIE DOCHTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
1802 ELM ST, CANTON-LAGRANGE FAMILY PRACTICE, CANTON, MO 63435-1694
(573) 288-5360
(573) 288-5361
Mailing address
PO BOX 309, CANTON-LAGRANGE FAMILY PRACTICE, CANTON, MO 63435-0309
(573) 288-5360
(573) 288-5361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100511
MO
Other
Enumeration date
07/30/2006
Last updated
04/19/2012
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