Individual
MICHAEL PATRICK DOHRENWEND
Active
Individual
MICHAEL PATRICK DOHRENWEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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