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Douglas Roland Cory
Student in an Organized Health Care Education/Training Program in Hanover, Michigan
NPI 1780119131

Douglas Roland Cory is a Student in an Organized Health Care Education/Training Program based in Hanover, MI. Douglas Roland Cory practices in Hanover, MI. The NPI Number for Douglas Roland Cory is 1780119131 and holds a License No. 5302042510 (Michigan).

The current practice location address for Douglas Roland Cory is 12743 Strait Rd, Hanover, MI and can be reached out via phone at 517-392-5269. You can also correspond with Douglas Roland Cory through the mailing address at 12743 STRAIT RD, HANOVER, MI - 49241-9742 (mailing address contact number: 517-392-5269).

Location: 12743 Strait Rd, Hanover, MI, 49241-9742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780119131
Provider Name
Douglas Roland Cory
Credential
Provider Entity Type
Individual
Gender
Male
Address
12743 Strait Rd, Hanover, MI, 49241-9742
Phone Number
517-392-5269
Fax Number
Provider Enumeration Date
04/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5302042510 01 MI PHARMACY INTERN LICENSE
1209579 01 MI NATIONAL ASSOCIATION OF BOARDS OF PHARMACY (NABP) NUMBER
institution
Provider Business Practice Location Address Details
Address
12743 Strait Rd
City
Hanover
State
Michigan
Zip
49241-9742
Phone Number
517-392-5269
Fax Number
person
Provider Business Mailing Address Details
Address
12743 Strait Rd
City
Hanover
State
Michigan
Zip
49241-9742
Phone Number
517-392-5269
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5302042510 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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