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1548645195
MICHAEL J DOERMANN
PROVO, UT
NPI
1548645195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 6679446-1204)
Enumeration Date
2015-07-24
Last Update Date
2019-01-16
Business Address
Dr. MICHAEL J DOERMANN D.O.
395 W BULLDOG BLVD FL 6
PROVO, UT 84604-3311
Phone number: 801-357-0570
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Mailing Address
Dr. MICHAEL J DOERMANN D.O.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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