Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLAS D PODOLL, DDS
ActiveMR. DOUGLAS D PODOLL, DDS is a Orthodontics healthcare provider located in AMERY, Wisconsin. NPI 1003952607 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · AMERY, WI
Registration Details
- NPI Number
- 1003952607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.5743759212 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0003237 (WI)
Practice Information
- Address
-
404 WISCONSIN AVEAMERY, WI, 54001Browse WI providers · Browse ZIP 54001
- Phone
- 7152688109
- Fax
- 7152684620
- Primary Specialty
-
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.