Individual
DR. KATHLEEN ANN MCDOUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3021 VOYAGER DR, GREEN BAY, WI 54311-8303
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64218-20
WI
207R00000X
Internal Medicine Physician
G81817
CA
Other
Enumeration date
10/04/2005
Last updated
11/13/2015
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