Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michael Lee Douglas, MD

Individual provider Family Medicine Physician · NPI 1902907454

Michael Lee Douglas, MD is registered under Family Practice in Baldwin, Wisconsin. Graduated from East Tennessee State University Quillen College of Medicine in 1994, 32 years ago. Practices with Sanford Health Network, a 364-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota, South Dakota and Wisconsin.

Years since qualifying
32
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
MN, SD, WI
In the registry since
2006
Specialties on file
3
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

1110 Bergslien St
Baldwin, WI 54002
Phone: (715) 684-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Freeman Dr, Saint Peter, MN 56082-3504 — (507) 931-7125

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 56257-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 17115 (SD)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 39759 (MN)

Record details

NPI number1902907454
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Sanford Health Network — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients136
Services billed 190 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Sanford Health Network

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 364 clinicians in the practice; 12 are shown here.

Other providers in Baldwin