Donald W Dugan, PT
Individual provider Active NPI Physical Therapist · Ironwood, MI
NPI 1306937404 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306937404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501002422 (MI)
- Practice address
- 216 E Aurora St
Ironwood, MI 49938-2146 - Phone
- (906) 932-0714
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501002422 | MI | MD | Physical Therapist |
| 2653-024 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501002422 | MI | Yes |
| Physical Therapist | 225100000X | 2653-024 | WI |
Addresses
Primary practice location
216 E Aurora St
Ironwood, MI 49938-2146
Mailing address
216 E Aurora St
Ironwood, MI 49938-2146
Phone (906) 932-0714
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40086300 | Medicaid | WI | |
| 695131028241 | Other | MI | PREFERRED ONE |
Other providers in Ironwood, MI
- Gary L Champion
- Dona Coggins
- Coorie Lintu Counseling, LLC
- DB Compass Counseling LLC
- DJCC, Inc.
- Shawn Edyvean
- Sheri L Ewing
- Sarah Fadhil
- Jannel Castillo Fink
- Jamie Leah Fiorucci
All providers in Ironwood, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.