Individual
DR. PHILLIP DOUGLAS MARTINEZ-KNOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-8800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5031
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036.149823
IL
207RH0003X
Hematology & Oncology Physician
Primary
22233-875
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204204
—
WI
Enumeration date
03/25/2016
Last updated
06/25/2025
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