Individual
MARTHA ANN DORING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4867 APPLETREE LN, BAY CITY, MI 48706-9280
(989) 686-6793
Mailing address
4867 APPLETREE LN, BAY CITY, MI 48706-9280
(989) 686-6793
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
ADC300650
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26063690
BLUE CROSS
MI
Enumeration date
03/13/2019
Last updated
03/13/2019
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