Provider Demographics
NPI:1497878060
Name:DUFFY, MICHAEL F (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:DUFFY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2800 E BROAD ST
Mailing Address - Street 2:SUITE 522
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6409
Mailing Address - Country:US
Mailing Address - Phone:682-518-1215
Mailing Address - Fax:682-518-0132
Practice Address - Street 1:2800 E BROAD ST
Practice Address - Street 2:SUITE 522
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-6409
Practice Address - Country:US
Practice Address - Phone:682-518-1215
Practice Address - Fax:682-518-0132
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2009-07-10
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Provider Licenses
StateLicense IDTaxonomies
TXM9985207XS0117X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery