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Individual

JAMES A DOULL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
560 W MITCHELL ST, SUITE M40, PETOSKEY, MI 49770-2278
(231) 487-2391
(231) 487-6513
Mailing address
560 W MITCHELL ST, SUITE M40, PETOSKEY, MI 49770-2278
(231) 487-2391
(231) 487-6513

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
JD059131
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912073677
MI
Enumeration date
11/27/2006
Last updated
12/20/2011
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