Individual
DR. ROBERT M DOTTERRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6609 PENINSULA DR, TRAVERSE CITY, MI 49686-1737
(231) 935-2191
Mailing address
6609 PENINSULA DR, TRAVERSE CITY, MI 49686-1737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301050243
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202810041
BLUE CARE NETWORK
MI
05
—
1930282
—
MI
01
—
1962403717
ROBERT M DOTTERRER MD
MI
01
—
382991220
HEALTH NET/TRICARE
MI
01
—
B46660
PRIORITY
MI
01
—
B86018144
MUNSON MEDICARE PIN
MI
Enumeration date
08/02/2005
Last updated
01/25/2019
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