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Individual
DR. THOMAS M DOUGHERTY
Active
Individual
DR. THOMAS M DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29906
WI
207Q00000X
Family Medicine Physician
Primary
2009024720
MO
207Q00000X
Family Medicine Physician
29906
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
2009024720
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
29906
WI
Other
Enumeration date
09/02/2006
Last updated
09/04/2014
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