Provider Demographics
NPI:1730504044
Name:DOHN, MICHAEL N (MD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:N
Last Name:DOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:117 S MAIN ST
Mailing Address - Street 2:MEDICAL BILLING - SECOND FLOOR
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45422-2005
Mailing Address - Country:US
Mailing Address - Phone:937-225-4550
Mailing Address - Fax:937-496-7613
Practice Address - Street 1:117 S MAIN ST
Practice Address - Street 2:REIBOLD BUILDING
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45422-2005
Practice Address - Country:US
Practice Address - Phone:937-225-4550
Practice Address - Fax:937-496-7613
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35045531207R00000X
KY21151207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0548072Medicaid
OHC02829Medicare UPIN