Individual
DR. JACQUELYN DORENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2900 COLLINS RD, LANSING, MI 48910-8394
(517) 975-6000
Mailing address
1749 HAMILTON RD STE 102E, OKEMOS, MI 48864-1941
(517) 482-2118
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0064153
CO
207L00000X
Anesthesiology Physician
Primary
23114140432
MI
Other
Enumeration date
06/12/2015
Last updated
10/26/2023
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