Individual
DR. DOUGLAS ANTHONY CUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
26029 5 MILE RD, REDFORD, MI 48239-3235
(313) 255-7900
Mailing address
26029 5 MILE RD, REDFORD, MI 48239-3235
(313) 255-7900
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
591001452
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4216879
—
MI
01
—
480008804
MEDICARE TRAVELERS ID
MI
01
—
4858256020
BLUE CROSS PROVIDER ID
MI
01
—
540H228370
BLUE CROSS DME
MI
01
—
5540710001
DMEC SUPPLIER ID
MI
01
—
B08003432
ADMINSTAR FEDERAL ID
MI
Enumeration date
11/02/2006
Last updated
09/08/2008
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