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Individual

DONALD W DUGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
216 E AURORA ST, IRONWOOD, MI 49938-2146
(906) 932-0714
Mailing address
216 E AURORA ST, IRONWOOD, MI 49938-2146
(906) 932-0714

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2653-024
WI
225100000X
Physical Therapist
Primary
5501002422
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40086300
WI
01
695131028241
PREFERRED ONE
MI
Enumeration date
09/27/2006
Last updated
07/08/2007
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