Individual
MR. MICHAEL THOMAS DOTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0011069
OR
1835P1200X
Pharmacotherapy Pharmacist
Primary
11069
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326676
EMPLOYEE #
—
Enumeration date
08/24/2007
Last updated
03/11/2009
Update your record
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