Individual provider · Type 1 NPI

Mary Kathryn Douglas, PAC

Medical Physician Assistant · Traverse City, MI

NPI number 1114928637 Active

Practice location

3074 N US 31 S
Traverse City, MI 49684-4533

Call (231) 929-1234 Map

Other practice locations

  • 550 Munson Ave, Traverse City, MI 49686-3580 · (231) 935-8686
  • 1105 Sixth St, Traverse City, MI 49684-2345 · (231) 935-5000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMD003850 (MI)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1114928637

Mary Kathryn Douglas, PAC's National Provider Identifier is 1114928637, issued on Aug 9, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Traverse City, MI. The record was last updated on Jan 27, 2025.