Individual
DR. MICHAEL L DOUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7862
(703) 792-7817
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7862
(703) 792-7817
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101045758
VA
Other
Enumeration date
05/02/2006
Last updated
12/12/2019
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