Individual
DOUGLAS MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1058 COLLEGE DR, NEW TOWN, ND 58763-9112
(701) 627-7681
Mailing address
1058 COLLEGE DR, NEW TOWN, ND 58763-9112
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
935
ND
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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