Douglas B Horan MD

NPI 1063406965 - Dermatology - 207N00000X

NPI Details
NPI 1063406965
Gender Male
Enumeration Date 09/07/2005
Last Updated 09/02/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1550 MIDWAY PL
MENASHA WI, 54952-1165, US
Phone (920) 727-8153
Fax
Business Location
1550 MIDWAY PL
MENASHA WI, 54952-1165, US
Phone (920) 727-8153
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Wisconsin
License Number 28242
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According to our database, Douglas B Horan MD NPI is 1063406965, taxonomy code is 207N00000X and license number is 28242, license state is located at Wisconsin. Douglas B Horan MD physically located at 1550 Midway Pl, Menasha WI, 54952-1165. NPI Number Douglas B Horan MD has the Individual type.

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1063406965 NPI number is provided on an as is basis without warranty of any kind. 1063406965 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas B Horan MD are for informational purposes only.