Provider Demographics
NPI:1063505022
Name:DOERR, HARRY LOUIS (MD, MHSA)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:LOUIS
Last Name:DOERR
Suffix:
Gender:M
Credentials:MD, MHSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2779 N MOONGLOW CT
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48353-2550
Mailing Address - Country:US
Mailing Address - Phone:248-593-0143
Mailing Address - Fax:248-593-0200
Practice Address - Street 1:2779 N MOONGLOW CT
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:MI
Practice Address - Zip Code:48353-2550
Practice Address - Country:US
Practice Address - Phone:248-593-0143
Practice Address - Fax:248-593-0200
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301028125207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology