Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Douglas Grove, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154941102

Dr. Douglas Grove, MD is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-2715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 2022041020 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154941102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESDecember 14, 2022
Certification dateNovember 30, 2022

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