Most Relevant Information
Provider Data
| NPI Number: | 1003262791 |
| Provider Name: | PATRICIA DOTY |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2016 |
| Last Updated: | 05/11/2016 |
Provider Practice Location
6160 GRAYTON ST
DETROIT
MI
482242068
Practice Location Phone/Fax
| Phone: | 3132213876 |
| Fax: |
Provider Mailing Location
6160 GRAYTON ST
DETROIT
MI
482242068
Provider Mailing Phone/Fax
| Phone: | 3132213876 |
| Fax: |