NPI 1528813698

Isabelle R Doherty

Practitioner Independent Duty Corpsman Selfridge Angb, MI

Practice location

Address: 43401 N Jefferson Ave Bldg 825, Selfridge Angb, MI 48045-5266
Phone: (231) 645-1261

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1528813698
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2024
Record last updated: 22 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.