Provider Demographics
NPI:1992982987
Name:DOERING, WARREN (RPH)
Entity type:Individual
Prefix:
First Name:WARREN
Middle Name:
Last Name:DOERING
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 W COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-4644
Mailing Address - Country:US
Mailing Address - Phone:920-739-9232
Mailing Address - Fax:920-739-5813
Practice Address - Street 1:2310 W COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-4644
Practice Address - Country:US
Practice Address - Phone:920-739-9232
Practice Address - Fax:920-739-5813
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8808-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist