MEDICARE: DOUGLAS A. FURMAN MD PC

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	4301033946	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	081627852	OTHER	MI	BCBSM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730403296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOUGLAS A. FURMAN MD PC

Provider Business Mailing Address
First Line	:	7037 WEST M-68 HWY
Second Line	:
City	:	INDIAN RIVER
State	:	MI
Zip	:	49749
Country	:	US
Telephone Number	:	231-238-9386
Fax Number	:	231-238-6895

Provider Business Practice Location Address
First Line	:	7037 WEST M-68 HWY
Second Line	:
City	:	INDIAN RIVER
State	:	MI
Zip	:	49749-0607
Country	:	US
Telephone Number	:	231-238-9386
Fax Number	:	231-238-6895

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DOUGLAS A. FURMAN
Credential	:	M.D.
Telephone Number	:	231-238-9386

Provider Enumeration Date	:	03/26/2010
Last Update Date	:	03/26/2010

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