Male or Other

Douglas D. Pflaum M.D.

Family Medicine Physician in Lake City, MN(View on Map)

Full Name

Douglas David Pflaum M.D.

NPI Number

1538145156

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/15/2005

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota
Wisconsin

License Number

27015
26415

Contact
Information

Purpose

Mailing
Location

Address

507 W DOUGHTY ST
507 W DOUGHTY ST

City

Lake City
Lake City

State

MN
MN

Postal Code

55041-1500
55041-1500

Country

US
US

Telephone Number

(651) 345-2350
(651) 345-2350

Identifiers

Identifier

0113153
MH9101008902
118098
49A85PF
080123675
336370800

Identifier State

Unknown
Unknown
Unknown
Unknown
Unknown
MN

Identifier Issuer

MEDICA
PREFERRED ONE
UCARE
BCBS
RAILROAD MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/18/2016

Provider Address

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