DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AMY LYNN DOHERTY, D.O.

Active

DR. AMY LYNN DOHERTY, D.O. is a Family Medicine healthcare provider located in PORTAGE, Wisconsin. NPI 1437413812 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PORTAGE, WI

Registration Details

NPI Number
1437413812
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2012 (14.102868354858 yrs)
Last Updated
Jun 28, 2016
Licenses
125.062322 (IL)
036.137970 (IL)
65068-21 (WI)

Practice Information

Address
2817 NEW PINERY RD
PORTAGE, WI, 539019240
Browse WI providers · Browse ZIP 53901
Phone
6087424131
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in PORTAGE, WI

Name Credential NPI
BRENDA A BLOHM MD 1881677011
SUSAN H KRECKMAN MD 1376527002
DR. JAMIE JOHN KLING DO 1184683310
BEATRIZ SOMOZA-BLANCO MD 1598724106
DR. ROBERT A. HENRY JR. D.O. 1740240308
SUSAN E PINEDA MD 1922061316
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.