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Individual

ALAN WAYNE DORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1645 S WAYNE RD, WESTLAND, MI 48186-5621
(734) 728-7246
Mailing address
9225 LUCERNE, REDFORD, MI 48239-1896

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AD004503
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
261622474
TAX ID #
MI
01
AD004503
STATE LICENSE #
MI
Enumeration date
04/22/2008
Last updated
04/22/2008
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