MEDICARE: DR. DONALD EDWARD DUGGAN M.D.

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
1	207Q00000X	Family Medicine Physician	01031223A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306810262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD EDWARD DUGGAN M.D.

Provider Business Mailing Address
First Line	:	701 E COUNTY LINE RD
Second Line	:	SUITE I01
City	:	GREENWOOD
State	:	IN
Zip	:	46143-1072
Country	:	US
Telephone Number	:	317-883-4736
Fax Number	:	317-885-2869

Provider Business Practice Location Address
First Line	:	701 E COUNTY LINE RD
Second Line	:	SUITE I01
City	:	GREENWOOD
State	:	IN
Zip	:	46143-1072
Country	:	US
Telephone Number	:	317-883-4736
Fax Number	:	317-885-2869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	10/03/2013

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