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Individual
MR. DOUGLAS MICHAEL ENDEL
Active
Individual
MR. DOUGLAS MICHAEL ENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4011
OH
111N00000X
Chiropractor
CH60001967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00656071
MEDICARE RAILROAD
—
Enumeration date
03/18/2008
Last updated
05/05/2010
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