Individual
DOUGLAS JAY LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63880
WI
207R00000X
Internal Medicine Physician
MD444641
PA
207R00000X
Internal Medicine Physician
MT195324
PA
208M00000X
Hospitalist Physician
Primary
63880
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932334059
—
WI
Enumeration date
05/19/2009
Last updated
03/22/2023
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