Dotterrer, Robert M

Dotterrer, Robert M is an sole proprietor health care provider with primary practice located at 6609 Peninsula Dr , Traverse City MI 49686-1737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dotterrer, Robert M can be contacted via phone (231) 935-2191.

Contact Information

Primary practice address
6609 Peninsula Dr Traverse City MI 49686-1737
Phone: (231) 935-2191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301050243 Michigan

Profile Details

NPI number 1962403717
LBN Legal business name Dotterrer, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Jan 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962403717 NPPES
Michigan Other 0202810041 BLUE CARE NETWORK
Michigan MEDICAID 1930282 BLUE CARE NETWORK
Michigan Other B86018144 BLUE CARE NETWORK
Michigan Other 382991220 BLUE CARE NETWORK
Michigan Other 0202810041 BLUE CARE NETWORK
Michigan Other B46660 BLUE CARE NETWORK
Michigan Other 1962403717 BLUE CARE NETWORK

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