Individual
DR. DOUGLAS H HALLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
22325 GREENVIEW PKWY, GREAT MILLS, MD 20634-3491
(301) 862-3338
(301) 862-3335
Mailing address
PO BOX 1310, CALIFORNIA, MD 20619-1310
(301) 862-3338
(301) 862-3335
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
213ES0103X
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00975
MD LICENSE
MD
05
—
483808400
—
MD
Enumeration date
08/05/2006
Last updated
07/22/2010
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