Michael L. Douglass, AA

Anesthesiologist Assistant · Summit, WI

Individual Active NPI

NPI number 1154070738

Practice location

36500 Aurora Dr
Summit, WI 53066-4899
Phone
(262) 434-1000

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NPI record

NPI
1154070738
Entity type
Individual (Type 1)
Enumeration date
March 22, 2022
Last updated
April 14, 2022
Certified
April 14, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X 209-17 WI

About Michael Douglass

Michael L. Douglass, AA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 36500 Aurora Dr, Summit, WI 53066-4899. The NPI number 1154070738 was assigned on March 22, 2022 and the record was last updated on April 14, 2022.

Michael Douglass lists a license in the registry: #209-17 (WI) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael L. Douglass, AA?

The NPI number is 1154070738.

What is the phone number of Michael Douglass?

The phone number listed for the practice location is (262) 434-1000.

Where is Michael Douglass located?

36500 Aurora Dr, Summit, WI 53066-4899.

What is the taxonomy code for Michael Douglass?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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