Individual
DR. MICHAEL DAVID DUCHAMP
Active
Individual
DR. MICHAEL DAVID DUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H9894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096762203
—
TX
05
—
096762204
—
TX
01
—
0A5927
PTAN
TX
01
—
200031546
PTAN RAILROAD
TX
05
—
215761201
—
TX
01
—
8F23937
PTAN
TX
01
—
DR6492
PTAN RAILROAD
TX
Enumeration date
10/03/2006
Last updated
12/13/2012
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