Provider Demographics
NPI:1346339249
Name:DUQUETTE, PATRICE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:MARIE
Last Name:DUQUETTE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:25328 HENLEY AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1707
Mailing Address - Country:US
Mailing Address - Phone:248-594-7690
Mailing Address - Fax:248-594-7663
Practice Address - Street 1:380 N OLD WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-5347
Practice Address - Country:US
Practice Address - Phone:248-594-7690
Practice Address - Fax:248-594-7663
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010549352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF63476Medicare UPIN
MIOM17770Medicare PIN