Michael Lee Douglas in Baldwin - Geriatric Medicine
Michael Lee Douglas - NPI 1902907454
Michael Lee Douglas is a Geriatric Medicine in Baldwin, Wisconsin. Michael Lee Douglas practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Michael Lee Douglas is 1902907454. The last update date is 2022-12-21.
Michael Lee Douglas's current location address is 1100 Bergslien St, Baldwin, Wisconsin. You can contact this provider via phone number 7156841111. The mailing address for Michael Lee Douglas is 1100 Bergslien St, Baldwin, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Lee Douglas |
---|---|
Address | 1100 Bergslien St, Baldwin, Wisconsin |
Phone Number | 7156841111 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1902907454 |
---|---|
Provider Enumeration Date | 2006-09-26 |
Last Updated Date | 2022-12-21 |
Provider Mailing Address Detail
Address | 1100 Bergslien St |
---|---|
City | Baldwin |
State | Wisconsin (WI) |
Post Code | 540022600 |
Phone Number | 7156841111 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Geriatric Medicine |
---|---|
Taxonomy | 207Qg0300X |
Licence No | 39759 |
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
227GD3O | MN | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Lee Douglas by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Lee Douglas has been assigned the NPI (National Provider Identifier) 1902907454. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Michael Lee Douglas?
The Michael Lee Douglas is physically situated at 1100 Bergslien St, in the city of Baldwin, state of WI, with the postal code 540022600.
What is the Michael Lee Douglas's area of specialization and corresponding taxonomy classification?
The Michael Lee Douglas's specialty field is Geriatric Medicine, and it falls under the taxonomy code 207Qg0300X, which categorizes healthcare providers based on their specialties.
When did Michael Lee Douglas receive its 1902907454 assignment?
The Michael Lee Douglas was assigned its 1902907454 on 2006-09-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Michael Lee Douglas most recently updated or revised?
The information pertaining to Michael Lee Douglas, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-21.