Michael L Douglass, AA

NPI #1154070738 in Summit, Wisconsin

Provider Information

NPI Number
1154070738
Entity Type
Individual
Name
Michael L Douglass, AA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Anesthesiologist Assistant
Credential
AA
Enumeration Date
Mar 22, 2022
Last Updated
Apr 14, 2022

Practice Location

Address
36500 AURORA DR
City
Summit
ZIP Code
53066-4899
Phone
(262) 434-1000

Specialties & Taxonomy Codes

Specialty
Anesthesiologist Assistant

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