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NPI Code Detail

MEDICARE: MRS. DEBORAH L DUNCAN MD

MEDICARE: MRS. DEBORAH L DUNCAN MD
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 Physician4301051746MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080015597OTHERMIMEDICARE RAILROAD ID NUMB
60B56256005OTHERMIMEDICARE ID NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1381746096OTHERMIFEDERAL TAX ID # FOR GROU
31002567OTHERMIMCLAREN HEALTH PLAN ID #
41023526096OTHERMIHEALTHPLUS ID NUMBER
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
70253709OTHERMIBCBS AND BCN PIN NUMBER

General Provider Information

NPI Number : 1760452247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH L DUNCAN MD
Provider Business Mailing Address
First Line : 13311 OLD OAKS DR
Second Line :
City : FENTON
State : MI
Zip : 48430-9498
Country : US
Telephone Number : 810-629-4831
Fax Number :
Provider Business Practice Location Address
First Line : 102 N ADELAIDE ST
Second Line :
City : FENTON
State : MI
Zip : 48430-2670
Country : US
Telephone Number : 810-629-2245
Fax Number : 810-629-6535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 12/23/2009

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Directions to “ MRS. DEBORAH L DUNCAN MD” Practice Location

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