Douglas Gordon Paulk in Macomb Township - Surgery

Douglas Gordon Paulk - NPI 1750372405

Douglas Gordon Paulk is a Surgery in Macomb Township, Michigan. Douglas Gordon Paulk practices all healthcare services and medical treatments related to Surgery. The NPI Number for Douglas Gordon Paulk is 1750372405. The last update date is 2015-01-15.

Douglas Gordon Paulk's current location address is 17375 Hall Rd, Macomb Township, Michigan. You can contact this provider via phone number 5862280550 and fax number 5862288125. The mailing address for Douglas Gordon Paulk is 17375 Hall Rd, Macomb Township, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Gordon Paulk
Address 17375 Hall Rd, Macomb Township, Michigan
Phone Number 5862280550
Fax Number 5862288125
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1750372405
Provider Enumeration Date 2005-11-02
Last Updated Date 2015-01-15

Provider Mailing Address Detail

Address 17375 Hall Rd
City Macomb Township
State Michigan (MI)
Post Code 480444060
Phone Number 5862280550
Fax Number 5862288125

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 5101007995
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1886068 MI --

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FAQs about Douglas Gordon Paulk

What is the unique 10-digit identification code issued to Douglas Gordon Paulk by the Centers for Medicare & Medicaid Services?

The Douglas Gordon Paulk has been assigned the NPI (National Provider Identifier) 1750372405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Douglas Gordon Paulk is located?

The Douglas Gordon Paulk is situated at the following address: 17375 Hall Rd, Macomb Township, MI, 480444060.

What is Douglas Gordon Paulk's area of expertise and its corresponding taxonomy classification?

The Douglas Gordon Paulk's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1750372405 to Douglas Gordon Paulk?

The Centers for Medicare & Medicaid Services originally issued the 1750372405 to Douglas Gordon Paulk on 2005-11-02.

When was the information related to Douglas Gordon Paulk most recently updated or refreshed?

The details pertaining to the Douglas Gordon Paulk, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-01-15.

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