Individual
MR. DAVID LEON DORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3443 FARR RD, FRUITPORT, MI 49415-8779
(231) 672-2900
(231) 672-2901
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101635
PREFERRED CHOICE
MI
01
—
102
COMMUNITY CHOICE
MI
01
—
112590390
MUSKEGON CARE/ACCESS HEAL
MI
01
—
18799
HEALTH PLAN OF MICHIGAN
MI
05
—
2590390
—
MI
Enumeration date
08/02/2005
Last updated
01/18/2013
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