Individual
DOUGLAS DAVID PFLAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 W DOUGHTY ST, LAKE CITY, MN 55041-1500
(651) 345-2350
(651) 345-2238
Mailing address
507 W DOUGHTY ST, LAKE CITY, MN 55041-1500
(651) 345-2350
(651) 345-2238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26415
WI
207Q00000X
Family Medicine Physician
Primary
27015
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113153
MEDICA
—
01
—
080123675
RAILROAD MEDICARE
—
01
—
118098
UCARE
—
05
—
336370800
—
MN
01
—
49A85PF
BCBS
—
01
—
MH9101008902
PREFERRED ONE
—
Enumeration date
12/15/2005
Last updated
08/18/2016
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