Individual
DR. MICHAEL L DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 NEW YORK AVE STE 250, OAK RIDGE, TN 37830-5227
(865) 835-5880
(865) 374-2009
Mailing address
200 NEW YORK AVE STE 250, OAK RIDGE, TN 37830-5227
(865) 835-5880
(865) 374-2009
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
TN0000003191
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q030847
—
TN
Enumeration date
06/19/2012
Last updated
10/19/2023
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