Individual
MICHELLE L DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3894
(203) 852-2000
Mailing address
191 N BROADWAY UNIT 707, MILWAUKEE, WI 53202-6032
(773) 791-2444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
295030
MA
207V00000X
Obstetrics & Gynecology Physician
72895
CT
207V00000X
Obstetrics & Gynecology Physician
DO3433
ME
Other
Enumeration date
07/10/2006
Last updated
05/31/2025
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