Storm, Douglas William

Storm, Douglas William is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Storm, Douglas William can be contacted via phone (570) 594-9038.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (570) 594-9038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 40164 Iowa
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 091187 Ohio

Profile Details

NPI number 1720257678
LBN Legal business name Storm, Douglas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2008
Last updated Mar 19th, 2024 - about 6 months 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 1720257678 NPPES
Iowa MEDICAID 1720257678

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