Pflaum, Douglas David

Pflaum, Douglas David is an individual health care provider with primary practice located at 507 W Doughty St , Lake City MN 55041-1500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pflaum, Douglas David can be contacted via phone (651) 345-2350.

Contact Information

Primary practice address
507 W Doughty St Lake City MN 55041-1500
Phone: (651) 345-2350
Fax: (651) 345-2238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27015 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26415 Wisconsin

Profile Details

NPI number 1538145156
LBN Legal business name Pflaum, Douglas David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Aug 18th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538145156 NPPES
Other 0113153 MEDICA
Other MH9101008902 MEDICA
Other 118098 MEDICA
Other 49A85PF MEDICA
Other 080123675 MEDICA
MEDICAID 336370800 MEDICA

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