Individual
DOUGLAS ALLEN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
(269) 373-6000
Mailing address
418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
(269) 373-6000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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