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Michael Lee Douglas, MD
Geriatric Medicine (Family Medicine) Physician in Baldwin, Wisconsin
NPI 1902907454

Michael Lee Douglas is a Geriatric Medicine (Family Medicine) Physician based in Baldwin, WI and is specialized in Geriatric Medicine. Michael Lee Douglas practices in Baldwin, WI and has the professional credentials of MD. The NPI Number for Michael Lee Douglas is 1902907454 and holds a License No. 56257-20 (Wisconsin).

The current practice location address for Michael Lee Douglas is 1110 Bergslien Street, Baldwin, WI and can be reached out via phone at 715-684-1111.

Location: 1110 Bergslien Street, Baldwin, WI, 54002-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902907454
Provider Name
Michael Lee Douglas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1110 Bergslien Street, Baldwin, WI, 54002-2600
Phone Number
715-684-1111
Fax Number
Provider Enumeration Date
09/26/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100062832 05 WI
227GD3O 01 MN BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1110 Bergslien Street
City
Baldwin
State
Wisconsin
Zip
54002
Phone Number
715-684-1111
Fax Number
person
Provider Business Mailing Address Details
Address
1110 Bergslien Street
City
Baldwin
State
Wisconsin
Zip
54002
Phone Number
715-684-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
39759 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
56257-20 (Wisconsin)
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 home, the office, long-term care settings such as nursing homes, and the hospital.
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