Individual
MR. MARK DOUGLAS DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHA
Contact information
Practice address
3847 PINE GROVE AVE STE A, FORT GRATIOT, MI 48059-4265
(810) 966-3717
Mailing address
413 16TH ST, PORT HURON, MI 48060-4248
(810) 966-3717
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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