# DR. DOUGLAS H BRYAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285743955
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 036-114015 | IL | — |
| 208600000X | Surgery Physician | 48880 | WI | — |
| 2086S0129X | Vascular Surgery Physician | 036-114015 | IL | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 03/26/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036114015 1 | — | IL |
| 05 | — | 34696800 | — | WI |