Individual
DONALD G DOUGLAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Mailing address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24647
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126482
UCARE #
MN
01
—
12915
NDBS #
MN
01
—
13026
NDBS #
MN
01
—
1600863
MEDICA #
MN
05
—
18686
—
MN
01
—
5154
SIOUX VALLEY #
MN
01
—
765067
AMERICA'S PPO/ARAZ #
MN
01
—
8T818DO
MNBS #
MN
01
—
FS9041015681
PREFERRED ONE #
MN
01
—
HP25735
HEALTHPARTNERS #
MN
01
—
MN200003
LHS/BANNERHEALTH #
MN
Enumeration date
05/30/2006
Last updated
07/09/2007
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