Individual
MICHAELA MARIE DUGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10707 PACIFIC ST, SUITE 101, OMAHA, NE 68114-4762
(402) 397-7989
(402) 393-7554
Mailing address
3328 N 58TH ST, OMAHA, NE 68104-3433
(402) 215-3949
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PENDING
NE
363AS0400X
Surgical Physician Assistant
Primary
PENDING
NE
Other
Enumeration date
01/11/2011
Last updated
05/09/2013
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