Individual
DOUGLAS P DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449
(715) 387-5345
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25241
WI
207RN0300X
Nephrology Physician
Primary
25241
WI
207RN0300X
Nephrology Physician
LT15265
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207RN0300X
TAXONOMY
ND
05
—
30517100
—
WI
01
—
LT15265
ND LICENSE #
ND
Enumeration date
09/22/2006
Last updated
08/01/2018
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