Individual
DR. STANLEY A DORFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44405 WOODWARD AVE, SUITE 200, PONTIAC, MI 48341-5023
(248) 338-0100
(248) 858-3959
Mailing address
PO BOX 187, BLOOMFIELD HILLS, MI 48303-0187
(248) 338-0100
(248) 858-3959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301029359
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004278388
AETNA
MI
01
—
0F36364
MEDICARE GROUP
MI
01
—
160F36364
BCBS GROUP
MI
01
—
C4203
MCARE
MI
Enumeration date
06/06/2006
Last updated
03/25/2008
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