Individual
DOUGLAS EUGENE PUGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1901 STAR BATT DR, SUITE 200, ROCHESTER HILLS, MI 48309-3712
(248) 844-4072
(248) 844-4072
Mailing address
1901 STAR BATT DRIVE, SUITE 200, ROCHESTER HILLS, MI 48309
(248) 844-4042
(248) 844-4072
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
5101013693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114258903
—
MI
01
—
1653301685
BLUE CROSS BLUE SHIELD
MI
01
—
200000015991
PHPMM
MI
Enumeration date
05/23/2006
Last updated
08/01/2017
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