Individual
MR. DOUGLAS ARTHUR PACHOLKE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(313) 993-1245
Mailing address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704340987
MI
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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