Individual
KEVIN DOERZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 N MICHIGAN AVE, SAGINAW, MI 48602-4732
(989) 401-9033
Mailing address
PO BOX 741, STANDISH, MI 48658-0741
(989) 846-9631
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
07/23/2016
Last updated
12/28/2022
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