Individual
MRS. DEBORAH L DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 N ADELAIDE ST, FENTON, MI 48430-2670
(810) 629-2245
(810) 629-6535
Mailing address
13311 OLD OAKS DR, FENTON, MI 48430-9498
(810) 629-4831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301051746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0253709
BCBS AND BCN PIN NUMBER
MI
01
—
080015597
MEDICARE RAILROAD ID NUMB
MI
01
—
0B56256005
MEDICARE ID NUMBER
MI
01
—
1002567
MCLAREN HEALTH PLAN ID #
MI
01
—
1023526096
HEALTHPLUS ID NUMBER
MI
05
—
2640376
—
MI
01
—
381746096
FEDERAL TAX ID # FOR GROU
MI
Enumeration date
01/25/2006
Last updated
12/23/2009
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