Individual
DOUGLAS J WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-4917
(320) 229-5181
Mailing address
3366 OAKDALE AVENUE NO, #315 NORTH CLINIC PA, ROBBINSDALE, MN 55422-2948
(763) 587-7900
(763) 587-7989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31999
MN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
31999
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0707716
MEDICA HEALTH PLANS
—
01
—
080073015
RAILROAD MEDICARE
—
01
—
110935
U-CARE
—
01
—
2114087
FIRST HEALTH PLAN
—
01
—
438598
PREFERRED ONE
—
01
—
601023
ARAZ GROUP/AMERICAS PPO
—
01
—
761592200
MEDICAL ASSISTANCE (MA)
—
05
—
761592200
—
MN
01
—
86D81WA
BLUE CROSS BLUE SHIELD
—
01
—
COMP
CHAMPUS
—
01
—
HP22747
HEALTH PARTNERS
—
Enumeration date
10/25/2005
Last updated
05/26/2010
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