Provider Demographics
NPI:1346231701
Name:DOEBLER, WILLIAM D (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:D
Last Name:DOEBLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:533 MICHIGAN AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4700
Mailing Address - Country:US
Mailing Address - Phone:616-396-2463
Mailing Address - Fax:616-396-2996
Practice Address - Street 1:533 MICHIGAN AVE
Practice Address - Street 2:STE 100
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4700
Practice Address - Country:US
Practice Address - Phone:616-396-2463
Practice Address - Fax:616-396-2996
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301030075208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1364279Medicaid
MI1364279Medicaid
B43715Medicare UPIN