Individual
DR. MICHAEL DAVID DUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1005 W RALPH HALL PKWY, SUITE 237, ROCKWALL, TX 75032-6658
(972) 772-8577
Mailing address
PO BOX 506, ROCKWALL, TX 75087-0506
(972) 772-8577
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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