Macdougall, David Bruce

Macdougall, David Bruce is an individual health care provider with primary practice located at 224 Circle Dr , Traverse City MI 49684-2342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Macdougall, David Bruce can be contacted via phone (231) 932-4855.

Contact Information

Primary practice address
224 Circle Dr Traverse City MI 49684-2342
Fax: (231) 932-4850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301042793 Michigan

Profile Details

NPI number 1659376416
LBN Legal business name Macdougall, David Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659376416 NPPES
Michigan MEDICAID 4154023

Popular Providers