Michael D Dougherty, P.A.
NPI #1932186210 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1932186210
- Entity Type
- Individual
- Name
- Michael D Dougherty, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Dec 28, 2005
- Last Updated
- Dec 1, 2021
Practice Location
- Address
- 611 SHERMAN AVE EAST
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538
- Phone
- (920) 568-5330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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