Individual
DR. AUGUSTIN DOLORFINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 876-6519
Mailing address
307 LAKEWOOD DR, CADILLAC, MI 49601-8502
(231) 878-8237
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301406733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120877
PREFFERED CHOICE BILLING
MI
01
—
19788
PRIORITY HEALTH BILLING
MI
01
—
4085098
MOLINA
MI
05
—
4085098
—
MI
01
—
AD406733
BLUE CROSS BILLING NUMBER
MI
Enumeration date
05/27/2005
Last updated
01/11/2023
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