Storm, Douglas William
Storm, Douglas William is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. 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 (414) 805-0805.Contact Information
Primary practice address
9200 W Wisconsin Ave
Milwaukee WI 53226-3522
Phone: (414) 805-0805
Fax: (414) 955-0122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 83829 | Wisconsin |
| 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 | Apr 14th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720257678 | NPPES |
| Wisconsin | MEDICAID | 1720257678 | |
| Wisconsin | MEDICAID | 1720257678 |
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