MEDICARE: DOUGLAS J. WERMUTH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	30174-20	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871585505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS J. WERMUTH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 735044
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5044
Country	:	US
Telephone Number	:	414-281-4466
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 W LOOMIS RD STE 201
Second Line	:
City	:	GREENFIELD
State	:	WI
Zip	:	53220-4858
Country	:	US
Telephone Number	:	414-281-4466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	10/10/2023

Similar Medicare Providers

1447250006 — REHABCLINICS GALAXY INC
Practice Location Address:

4600 W LOOMIS RD , SUITE 120
GREENFIELD, WI
53220-4858

Practice Phone: 414-281-7247
Practice Fax: 414-281-7325

1477555951 — DONALD DAVID NIMMER M.D.
Practice Location Address:

4600 W LOOMIS RD , SUITE 130
GREENFIELD, WI
53220-4858

Practice Phone: 414-389-4900
Practice Fax: 414-465-4606

1780671677 — GLENN E. GRAVES M.D.
Practice Location Address:

4600 W LOOMIS RD STE 310
GREENFIELD, WI
53220-4858

Practice Phone: 414-281-0963
Practice Fax: 414-281-0959

1548235286 — DR. NEIL ARTHUR MOECKER M.D.
Practice Location Address:

4600 W LOOMIS RD , SUITE 130
GREENFIELD, WI
53220-4858

Practice Phone: 414-389-4900
Practice Fax: 414-465-4606

1386619039 — DR. KONRAD WALTER KRAWCZYK M.D.
Practice Location Address:

4600 W LOOMIS RD , SUITE 130
GREENFIELD, WI
53220-4858

Practice Phone: 414-389-4900
Practice Fax: 414-465-4606

1669483129 — RUBEN P ROMERO MD
Practice Location Address:

4600 W LOOMIS RD , SUITE 201
GREENFIELD, WI
53220-4858

Practice Phone: 414-281-4466
Practice Fax: 414-281-4528

Directions to “ DOUGLAS J. WERMUTH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.