Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 01085266A | IN |
N | 208200000X | Surgeon | 036-143405 | IL |
N | 208600000X | Surgeon | 036-143405 | IL |
N | 208200000X | Surgeon | 263000 | NY |
N | 208600000X | Surgeon | 263000 | NY |
NPI | 1194012781 |
---|---|
Provider Name | Matthew Doscher |
First Address | Munster, IN 46321-2818 |
Second Address | Chicago, IL 60612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2011 |
Last Update Date | 23/04/2021 |