MICHAEL L DOUGLASS

SUMMIT, WI
NPI1154070738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: WI  209-17)
Enumeration Date2022-03-22
Last Update Date2022-04-14
Business Address
MICHAEL L DOUGLASS AA
36500 AURORA DR
SUMMIT, WI 53066-4899
Phone number: 262-434-1000
Mailing Address
MICHAEL L DOUGLASS AA
36500 AURORA DR
SUMMIT, WI 53066-4899
Phone number: 262-434-1000