Douglas B Horan in Menasha - Mohs-micrographic Surgery
Douglas B Horan - NPI 1063406965
Douglas B Horan is a Mohs-micrographic Surgery in Menasha, Wisconsin. Douglas B Horan practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Douglas B Horan is 1063406965. The last update date is 2020-10-01.
Douglas B Horan's current location address is 1550 Midway Pl, Menasha, Wisconsin. You can contact this provider via phone number 9207278153. The mailing address for Douglas B Horan is 1550 Midway Pl, Menasha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas B Horan |
|---|---|
| Address | 1550 Midway Pl, Menasha, Wisconsin |
| Phone Number | 9207278153 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063406965 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2020-10-01 |
Provider Mailing Address Detail
| Address | 1550 Midway Pl |
|---|---|
| City | Menasha |
| State | Wisconsin (WI) |
| Post Code | 549521165 |
| Phone Number | 9207278153 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 28242 |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30798400 | WI | -- |
Post Comment/ Review Below
What is the Douglas B Horan's unique identification number?
The Douglas B Horan has been assigned the NPI (National Provider Identifier) Number 1063406965 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Douglas B Horan is geographically located?
The Douglas B Horan is physically situated at the following location: 1550 Midway Pl, Menasha, WI, 549521165.
What is Douglas B Horan's area of expertise and its corresponding taxonomy classification?
The Douglas B Horan's field of specialization is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their areas of practice.
On what date did the Douglas B Horan receive the assignment of its 1063406965 from the Centers for Medicare & Medicaid Services?
The Douglas B Horan was issued its 1063406965 by the Centers for Medicare & Medicaid Services on 2005-09-07.
As of what date were the Douglas B Horan's details last updated?
The information pertaining to the Douglas B Horan, including its address, specialty, and other details, was most recently updated on 2020-10-01.