Provider Demographics
NPI:1366430902
Name:SAXTON, DUANE (MD)
Entity type:Individual
Prefix:
First Name:DUANE
Middle Name:
Last Name:SAXTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 WOODWARD ST
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-1036
Mailing Address - Country:US
Mailing Address - Phone:616-772-3704
Mailing Address - Fax:616-772-3704
Practice Address - Street 1:262 WOODWARD ST
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-1036
Practice Address - Country:US
Practice Address - Phone:616-772-3704
Practice Address - Fax:616-772-3704
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301049769207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine