| Dr Douglas H Hallgren, DPM | |
|
22325 Greenview Pkwy, Great Mills, MD 20634-3491 | |
| (301) 862-3338 | |
| (301) 862-3335 |
| Full Name | Dr Douglas H Hallgren |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 22325 Greenview Pkwy, Great Mills, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336158955 | NPI | - | NPPES |
| 00975 | Other | MD | MD LICENSE |
| 483808400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 213ES0103X (Maryland) | Primary |
| Provider Name | Capital Foot & Ankle Care Centre, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053320580 PECOS PAC ID: 5698729366 Enrollment ID: O20050304000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas H Hallgren, DPM Po Box 1310, California, MD 20619-1310 Ph: (301) 862-3338 | Dr Douglas H Hallgren, DPM 22325 Greenview Pkwy, Great Mills, MD 20634-3491 Ph: (301) 862-3338 |
Dr. Robert L Vanfosson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 22325 Greenview Pkwy, Great Mills, MD 20634 Phone: 301-862-3338 Fax: 301-862-3335 | |
Dr. Royden J Stanford, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 22325 Greenview Pkwy Unit 1a, Great Mills, MD 20634 Phone: 301-862-3338 |