Michael L Douglass, AA
Michael L Douglass, AA is an Anesthesiology Assistant in Summit, Wisconsin. Graduated from Indiana University School of Medicine in 2021, 5 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 5
- Trained at
- Indiana University School of Medicine
- Licensed in
- WI
- In the registry since
- 2022
Practice location Address checks out
36500 Aurora DrSummit, WI 53066-4899
Phone: (262) 434-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X · Licence 209-17 (WI) |
|---|
Record details
| NPI number | 1154070738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AA |
| Sole proprietor | No |
| NPI enumerated | March 22, 2022 |
| Last updated in NPPES | April 14, 2022 |
| Certification date | April 14, 2022 |
| Mailing address | 36500 Aurora Dr, Summit, WI 53066-4899 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY ASSISTANT |
|---|---|
| Medical school | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2021 (5 years in practice) |
| Group practice | Aurora Medical Group, Inc. — 3741 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Summit
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Mary K Duffy, AA
36500 Aurora Dr, Summit, WI 53066-4899 · (262) 434-1000
-
Mikayla Nicole Ehlert, AA
36500 Aurora Dr, Summit, WI 53066-4899 · (262) 434-1000
-
Emily Hogoboom, AA
36500 Aurora Dr, Summit, WI 53066-4899 · (262) 434-1000
-
Matthew A Lyles, AA
36500 Aurora Dr, Summit, WI 53066-4899 · (262) 434-1000