Individual
DR. JOHN PHILLIP DOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2380 CEDAR ST, HOLT, MI 48842-2143
(517) 742-4922
(517) 699-2904
Mailing address
2380 CEDAR ST, HOLT, MI 48842-2143
(517) 742-4922
(517) 699-2904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C36097
TRAVELERS MEDICARE
MI
05
—
4478086
—
MI
Enumeration date
07/26/2006
Last updated
06/05/2015
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