Thomas R Doerr in Traverse City - Plastic Surgery
Thomas R Doerr - NPI 1699886168
Thomas R Doerr is a Plastic Surgery in Traverse City, Michigan. Thomas R Doerr practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Thomas R Doerr is 1699886168. The last update date is 2010-04-30.
Thomas R Doerr's current location address is 213 S Madison St, Traverse City, Michigan. You can contact this provider via phone number 2319470220 and fax number 2319471629. The mailing address for Thomas R Doerr is 213 S Madison St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas R Doerr |
|---|---|
| Address | 213 S Madison St, Traverse City, Michigan |
| Phone Number | 2319470220 |
| Fax Number | 2319471629 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699886168 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2010-04-30 |
Provider Mailing Address Detail
| Address | 213 S Madison St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496842321 |
| Phone Number | 2319470220 |
| Fax Number | 2319471629 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | TD036578 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2402800852 | MI | BLUE CROSS BLUE SHIELD | |
| 2402800852 | MI | BLUE CARE NETWORK | |
| 900003054 | MI | PRIORITY HEALTH | |
| 2120993 | MI | -- | |
| 382629298 | MI | TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Thomas R Doerr by the Centers for Medicare & Medicaid Services (CMS)?
The Thomas R Doerr has been assigned the NPI (National Provider Identifier) 1699886168. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Thomas R Doerr's facilities are situated?
The facilities of Thomas R Doerr are physically located at the following address: 213 S Madison St, Traverse City, MI, 496842321.
What is Thomas R Doerr's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas R Doerr's specialized field of practice is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208200000X.
On what date was the 1699886168 assigned to Thomas R Doerr?
The Thomas R Doerr was issued its 1699886168 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Thomas R Doerr most recently updated or revised?
The information pertaining to Thomas R Doerr, including its address, specialty, and other relevant details, was last updated or revised on 2010-04-30.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN