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NPI Code Detail

MEDICARE: DOUGLAS ALBERT WOERNER DO

MEDICARE: DOUGLAS ALBERT WOERNER DO
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
1207Q00000XFamily Medicine Physician5021AZ
2207Q00000XFamily Medicine Physician11999MT

General Provider Information

NPI Number : 1649437328
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS ALBERT WOERNER DO
Provider Business Mailing Address
First Line : 1035 1ST AVE
Second Line :
City : LAUREL
State : MT
Zip : 59044-2119
Country : US
Telephone Number : 406-628-6311
Fax Number : 406-628-3024
Provider Business Practice Location Address
First Line : 1035 1ST AVE
Second Line :
City : LAUREL
State : MT
Zip : 59044-2119
Country : US
Telephone Number : 406-628-6311
Fax Number : 406-628-3024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2008
Last Update Date : 02/20/2014

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Directions to “ DOUGLAS ALBERT WOERNER DO” Practice Location

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