Individual
DOUGLAS R MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3916 N INTERTECH CT, APPLETON, WI 54913
(920) 996-1000
(920) 997-8310
Mailing address
211 E CROSSING MEADOWS LN, APPLETON, WI 54913-6848
(920) 996-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41599-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34195400
—
WI
Enumeration date
09/20/2005
Last updated
07/08/2025
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