Individual
DAVID DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRM-DP
Contact information
Practice address
2081 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 895-0500
(313) 895-0503
Mailing address
2081 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 895-0500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
10/17/2024
Last updated
10/31/2024
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