Individual
DOUGLAS SHORTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-1020
Mailing address
114 W ADAMS AVE APT 1507, DETROIT, MI 48226-1636
(317) 697-8629
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
07/22/2025
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