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1427095694

NPI Code Detail

MEDICARE: DOUGLAS R PALMER MD

MEDICARE: DOUGLAS R PALMER MD

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	207X00000X	Orthopaedic Surgery Physician	27483-020	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00801177CD3624	OTHER	WI	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	PALMEDOU	OTHER	WI	MERCYCARE INSURANCE
3	0900029	OTHER	WI	PHYSICIANS PLUS INSURANCE
4	39171561401	OTHER	WI	UNITY
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	980	OTHER	WI	DEAN HEALTH INSURANCE

General Provider Information

NPI Number	:	1427095694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS R PALMER MD

Provider Business Mailing Address
First Line	:	3524 E MILWAUKEE ST
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53546-1626
Country	:	US
Telephone Number	:	608-756-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3524 E MILWAUKEE ST
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53546-1626
Country	:	US
Telephone Number	:	608-756-7100
Fax Number	:

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	09/29/2011

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Directions to “ DOUGLAS R PALMER MD” Practice Location

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