Individual
BENJAMIN EUGENE DORENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1000 E CHERRY ST, TROY, MO 63379-1513
(636) 528-8551
Mailing address
2206 ERIK LN, PACIFIC, MO 63069-2656
(314) 974-5562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020016745
MO
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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