Individual
DORR G DEARBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
35-037910
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028322
ANTHEM
OH
01
—
000000221399
UNISON
OH
01
—
000000525904
ANTHEM
OH
01
—
0559328
BCMH
OH
05
—
0559328
—
OH
01
—
0639605
AETNA
OH
01
—
363468
WELLLCARE
OH
01
—
370001912
RAILROAD MEDICARE
OH
01
—
745898
BUCKEYE
OH
Enumeration date
07/16/2006
Last updated
04/21/2011
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