Individual
DR. THOMAS R DOERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
213 S MADISON ST, TRAVERSE CITY, MI 49684-2321
(231) 947-0220
(231) 947-1629
Mailing address
213 S MADISON ST, TRAVERSE CITY, MI 49684-2321
(231) 947-0220
(231) 947-1629
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
TD036578
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120993
—
MI
01
—
2402800852
BLUE CROSS BLUE SHIELD
MI
01
—
382629298
TRICARE
MI
01
—
900003054
PRIORITY HEALTH
MI
Enumeration date
08/31/2006
Last updated
04/30/2010
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