Individual
DR. DOUGLAS P CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 749-1171
(920) 749-1172
Mailing address
3232 N BALLARD RD STE 200, ATTN: CREDENTIALING, APPLETON, WI 54911-8804
(920) 749-9668
(920) 734-5307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13714
MS
2085R0001X
Radiation Oncology Physician
Primary
13714
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005570200
—
FL
Enumeration date
08/23/2005
Last updated
02/16/2016
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