Individual
GUY ROBERT POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 N. MAYFAIR RD., MILWAUKEE, WI 53226-3421
(414) 456-5990
Mailing address
1155 N. MAYFAIR RD., MILWAUKEE, WI 53226-3421
(414) 456-5990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44188
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34267400
—
WI
Enumeration date
07/19/2006
Last updated
01/09/2009
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