Individual
MICHAEL PATRICK DOHRENWEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7738 MADISON BLVD, HUNTSVILLE, AL 35806-2085
(256) 430-4427
(256) 430-4335
Mailing address
420 LOWELL DR SE, STE 103, HUNTSVILLE, AL 35801-3754
(256) 535-5940
(256) 535-5954
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
16209
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007315194
AETNA IDENTIFICATION NO
—
05
—
051525690
—
AL
01
—
331103393
TAX IDENTIFICATION NO
—
01
—
51525690
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/09/2005
Last updated
12/07/2009
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