Provider Demographics
NPI:1306810262
Name:DUGGAN, DONALD EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EDWARD
Last Name:DUGGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:701 E COUNTY LINE RD
Mailing Address - Street 2:SUITE I01
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1072
Mailing Address - Country:US
Mailing Address - Phone:317-883-4736
Mailing Address - Fax:317-885-2869
Practice Address - Street 1:701 E COUNTY LINE RD
Practice Address - Street 2:SUITE I01
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1072
Practice Address - Country:US
Practice Address - Phone:317-883-4736
Practice Address - Fax:317-885-2869
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2013-10-03
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Provider Licenses
StateLicense IDTaxonomies
IN01031223A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100238090Medicaid
IN065940JJJMedicare PIN