Dewire, Douglas M

Dewire, Douglas M is an sole proprietor health care provider with primary practice located at 1111 Delafield St Suite 207, Waukesha WI 53188-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dewire, Douglas M can be contacted via phone (262) 446-3593.

Contact Information

Primary practice address
1111 Delafield St Suite 207 Waukesha WI 53188-3417
Phone: (262) 446-3593
Fax: (262) 547-0379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 29617 Wisconsin

Profile Details

NPI number 1861592172
LBN Legal business name Dewire, Douglas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jan 15th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861592172 NPPES
Wisconsin MEDICAID 31928700
Wisconsin Other 391345728029

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