Individual
MS. EMILIANNE DOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-1069
(734) 547-1070
Mailing address
9354 WHISPERING PINES DR, SALINE, MI 48176-9038
(734) 547-1069
(734) 547-1070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704306228
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376897330
—
MI
Enumeration date
10/30/2012
Last updated
08/31/2016
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