Individual
MR. TERRENCE MICHAEL DOUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-4021
Mailing address
1590 APPLEWOOD DR, SEVEN HILLS, OH 44131-5833
(216) 642-1309
(216) 642-4309
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50.000230
OH
363A00000X
Physician Assistant
Primary
50000230
OH
Other
Enumeration date
07/07/2006
Last updated
06/22/2010
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