Robert M Dotterrer MD
Surgery in Traverse City, MI. Organization (NPI-2).
NPI number1083667059
StatusActive
Last updated in NPPESSep 25, 2008
Details
- NPI
- 1083667059
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert M Dotterrer MD
- Organization subpart
- No
- Enumeration date
- May 18, 2006
- Last updated
- Sep 25, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
1221 6th StSuite#200
Traverse City, MI 49684-2359
Phone 231-935-2191 · Fax 231-935-2195
Mailing address
1221 6th StSuite#200
Traverse City, MI 49684-2359
Phone 231-935-2191 · Fax 231-935-2195
Authorized official
Robert M Dotterrer
Physicians
2319352191
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