Individual
AARON S DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3916 N INTERTECH CT, ATTN: ADMINISTRATION, APPLETON, WI 54913-6956
(920) 996-1000
(920) 996-1050
Mailing address
3916 N INTERTECH CT, ATTN: ADMINISTRATION, APPLETON, WI 54913-6956
(920) 996-1000
(920) 996-1050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49481
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34892200
—
WI
Enumeration date
08/13/2006
Last updated
01/29/2014
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