Organization
DOUGLAS E. PUGMIRE DO PLLC
Active
Other names
Gynecologic Oncology Specialist of MI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS E PUGMIRE D.O. (OWNER)
(517) 372-9967
Entity
Organization
Contact information
Practice address
1515 LAKE LANSING RD, SUITE O, LANSING, MI 48912-3753
(517) 372-9967
(517) 372-0669
Mailing address
1515 LAKE LANSING RD, SUITE O, LANSING, MI 48912-3753
(517) 372-9967
(517) 372-0669
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
—
200000002555
PHP OF MID MICHIGAN
MI
01
—
5330168
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/11/2007
Last updated
06/16/2008
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