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Individual

DR. DOUGLAS MILAN MAREADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4135 S POWER RD STE 113, MESA, AZ 85212-3625
(480) 626-2444
(480) 409-2987
Mailing address
PO BOX 88747, MILWAUKEE, WI 53288-8747
(480) 945-6777
(480) 257-7310

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54000
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689876252
NPI
05
331408
AZ
Enumeration date
06/05/2007
Last updated
01/10/2026
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