Provider Demographics
NPI:1346293008
Name:DUGUE, MICHELINE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELINE
Middle Name:
Last Name:DUGUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 KAI MAKANI LOOP
Mailing Address - Street 2:#102
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753
Mailing Address - Country:US
Mailing Address - Phone:917-660-2505
Mailing Address - Fax:
Practice Address - Street 1:203 HO'OHANA STREET
Practice Address - Street 2:MAUI CBOC
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732
Practice Address - Country:US
Practice Address - Phone:808-871-2454
Practice Address - Fax:808-871-2106
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2071792084P0800X, 2084P0805X
HI153252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry