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Individual

DOUGLAS R PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27483-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0900029
PHYSICIANS PLUS INSURANCE
WI
05
30748700
WI
01
39171561401
UNITY
WI
01
980
DEAN HEALTH INSURANCE
WI
01
P00801177CD3624
RR MEDICARE
WI
01
PALMEDOU
MERCYCARE INSURANCE
WI
Enumeration date
05/31/2006
Last updated
09/29/2011
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