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Dr. Ian R Powell, MD
Internal Medicine Physician in Oconomowoc, Wisconsin
NPI 1346212545

Ian R Powell is a Internal Medicine Physician based in Oconomowoc, WI. Ian R Powell practices in Oconomowoc, WI and has the professional credentials of MD. The NPI Number for Ian R Powell is 1346212545 and holds a License No. 39133 (Wisconsin).

The current practice location address for Ian R Powell is 34700 Valley Rd, Oconomowoc, WI and can be reached out via phone at 262-646-1391 and via fax at 262-646-1393.

Location: 34700 Valley Rd, Oconomowoc, WI, 53066-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346212545
Provider Name
Ian R Powell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34700 Valley Rd, Oconomowoc, WI, 53066-4500
Phone Number
262-646-1391
Fax Number
262-646-1393
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32580600 05 WI
institution
Provider Business Practice Location Address Details
Address
34700 Valley Rd
City
Oconomowoc
State
Wisconsin
Zip
53066-4500
Phone Number
262-646-1391
Fax Number
262-646-1393
person
Provider Business Mailing Address Details
Address
34700 Valley Rd
City
Oconomowoc
State
Wisconsin
Zip
53066-4500
Phone Number
262-646-1391
Fax Number
262-646-1393
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
39133 (Wisconsin)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
39133 (Wisconsin)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
39133 (Wisconsin)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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