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Individual

DOUGLAS DAVID PFLAUM

Active
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Individual

DOUGLAS DAVID PFLAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26415
WI
207Q00000X
Family Medicine Physician
Primary
27015
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113153
MEDICA
—
01
—
080123675
RAILROAD MEDICARE
—
01
—
118098
UCARE
—
05
—
336370800
—
MN
01
—
49A85PF
BCBS
—
01
—
MH9101008902
PREFERRED ONE
—
Enumeration date
12/15/2005
Last updated
08/18/2016
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