Individual
DR. PAUL JOSEPH DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 6A, DETROIT, MI 48201-2153
(313) 745-4230
Mailing address
4201 SAINT ANTOINE ST, SUITE 6A, DETROIT, MI 48201-2153
(313) 745-4230
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301083727
MI
207XP3100X
Pediatric Orthopaedic Surgery Physician
4301083727
MI
Other
Enumeration date
05/08/2007
Last updated
04/24/2015
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