Individual
DR. DOUGLAS DAVID CONGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9134
Mailing address
PO BOX 33321, DRAWER 129, DETROIT, MI 48232-5321
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5101009572
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001298
MCLAREN HEALTH ADVANTAGE
MI
01
—
220007715
RAILROAD MEDICARE
MI
01
—
2747668
HEALTH PLAN OF MI
MI
05
—
2747668
—
MI
01
—
4553
COMMUNITY CHOICE OF MI
MI
Enumeration date
08/28/2006
Last updated
07/16/2013
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