Individual
AMANDA MARIE DORNFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3118 N NATIONAL RD, COLUMBUS, IN 47201-3169
(812) 308-4594
(812) 302-2130
Mailing address
3118 N NATIONAL RD, COLUMBUS, IN 47201-3169
(812) 308-4594
(812) 302-2130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059524A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01059524A
MEDICAL LICENSE
IN
05
—
1811944259
—
IN
01
—
P00347446
RAILROAD MEDICARE
—
Enumeration date
05/30/2006
Last updated
04/07/2022
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