Mary Kathryn Douglas in Traverse City - Medical
Mary Kathryn Douglas - NPI 1114928637
Mary Kathryn Douglas is a Medical in Traverse City, Michigan. Mary Kathryn Douglas practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary Kathryn Douglas is 1114928637. The last update date is 2023-08-30.
Mary Kathryn Douglas's current location address is 3074 N Us 31 S, Traverse City, Michigan. You can contact this provider via phone number 2319291234 and fax number 2319350984. The mailing address for Mary Kathryn Douglas is 3074 N Us 31 S, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kathryn Douglas |
|---|---|
| Address | 3074 N Us 31 S, Traverse City, Michigan |
| Phone Number | 2319291234 |
| Fax Number | 2319350984 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1114928637 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2023-08-30 |
Provider Mailing Address Detail
| Address | 3074 N Us 31 S |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496844533 |
| Phone Number | 2319291234 |
| Fax Number | 2319350984 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MD003850 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Kathryn Douglas by the Centers for Medicare & Medicaid Services?
The Mary Kathryn Douglas has been assigned the NPI (National Provider Identifier) 1114928637 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary Kathryn Douglas?
The Mary Kathryn Douglas is physically situated at 3074 N Us 31 S, in the city of Traverse City, state of MI, with the postal code 496844533.
What is Mary Kathryn Douglas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Kathryn Douglas is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Mary Kathryn Douglas receive the assignment of its 1114928637 from the Centers for Medicare & Medicaid Services?
The Mary Kathryn Douglas was issued its 1114928637 by the Centers for Medicare & Medicaid Services on 2005-08-09.
As of what date were the details related to Mary Kathryn Douglas most recently updated or revised?
The information pertaining to Mary Kathryn Douglas, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-30.