Individual
DR. DOUGLAS LORENZO HANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13810 W CRAWFORD DR, NEW BERLIN, WI 53151-5314
(801) 634-6463
Mailing address
13810 W CRAWFORD DR, NEW BERLIN, WI 53151-5314
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
69369-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
10/18/2022
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