Michael J. Doermann, D.O.

Internal Medicine Physician · Provo, UT

Individual Active NPI

NPI number 1548645195

Practice location

395 W Bulldog Blvd Fl 6
Provo, UT 84604-3311
Phone
(801) 357-0570
Fax
(801) 357-7198

Open in Google Maps

NPI record

NPI
1548645195
Entity type
Individual (Type 1)
Enumeration date
July 24, 2015
Last updated
January 16, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 6679446-1204 UT

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

About Dr. Doermann

Michael J. Doermann, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 395 W Bulldog Blvd Fl 6, Provo, UT 84604-3311. The NPI number 1548645195 was assigned on July 24, 2015 and the record was last updated on January 16, 2019.

Dr. Doermann lists a license in the registry: #6679446-1204 (UT) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael J. Doermann, D.O.?

The NPI number is 1548645195.

What is the phone number of Dr. Doermann?

The phone number listed for the practice location is (801) 357-0570.

Where is Dr. Doermann located?

395 W Bulldog Blvd Fl 6, Provo, UT 84604-3311.

What is the taxonomy code for Dr. Doermann?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Internal Medicine Physician providers in Provo

All Internal Medicine Physician providers in Provo, UT →