Individual
MEGAN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 ST ANTOINE UHC 9C, DETROIT, MI 48201
(313) 993-2529
Mailing address
1510 W WEBSTER RD APT 10, ROYAL OAK, MI 48073-3139
(248) 202-9446
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301098773
MI
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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