IndividualActive
Isabelle Doherty
NPI 1528813698 · Independent Duty Corpsman · Selfridge Angb, MI
Provider details
- NPI number
- 1528813698
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
43401 N Jefferson Ave Bldg 825
Selfridge Angb, MI 48045-5266
Phone: (231) 645-1261
Approximate (ZIP-level) locationGet directions
Mailing address
43401 N Jefferson Ave Bldg 825
Selfridge Angb, MI 48045-5266
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.