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NPI Code Detail

MEDICARE: ANA C. DOUGHERTY

MEDICARE: ANA C. DOUGHERTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorMI

General Provider Information

NPI Number : 1275482341
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA C. DOUGHERTY
Provider Business Mailing Address
First Line : 6451 SCHAEFER RD
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2212
Country : US
Telephone Number : 313-945-8138
Fax Number :
Provider Business Practice Location Address
First Line : 6451 SCHAEFER RD
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2212
Country : US
Telephone Number : 313-945-8138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 06/09/2026

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