Individual
JOHN P DOERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 REENA AVE, STE A, FORT ATKINSON, WI 53538-3145
(920) 563-0888
(920) 568-3516
Mailing address
740 REENA AVE, STE A, FORT ATKINSON, WI 53538-3145
(920) 563-0888
(920) 568-3516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49794-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760466460
—
WI
Enumeration date
12/06/2005
Last updated
01/21/2016
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