Dr. Pamela D Doorenbos
Family Doctor
9825 Hospital Dr Suite 300
Maple Grove
, Minnesota 55369-4479
Dr. Pamela D Doorenbos
Family Doctor
9825 Hospital Dr Suite 300
Maple Grove
, Minnesota 55369-4479
(763) 587-7900
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Pamela D Doorenbos
- 9825 Hospital Dr Suite 300
- Maple Grove, MN
- Zip : 55369-4479
- Phone : (763) 587-7900
Second Address
- Dr. Pamela D Doorenbos
- 9825 Hospital Dr Suite 300
- Maple Grove, MN
- Zip : 55369-4479
- Fax : (763) 494-7501
- Phone : (763) 494-7500
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 37965 | MN |
National Provider Identifier
| NPI | 1003852559 |
|---|---|
| Provider Name | Dr. Pamela D Doorenbos |
| First Address | Maple Grove, MN 55369-4479 |
| Second Address | Maple Grove, MN 55369-4479 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2006 |
| Last Update Date | 20/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 096522700 | (05) | MN |
| G73764 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.