Individual
MICHAEL DOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 AUGUSTA DR, ELYRIA, OH 44035-8299
(440) 387-2438
Mailing address
208 AUGUSTA DR, ELYRIA, OH 44035-8299
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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