DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IAN R POWELL, M.D.

Active

DR. IAN R POWELL, M.D. is a Addiction Medicine (Internal Medicine) healthcare provider located in OCONOMOWOC, Wisconsin. NPI 1346212545 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Internal Medicine) · OCONOMOWOC, WI

Registration Details

NPI Number
1346212545
Provider Type
Individual
Gender
Male
NPI Issued
Feb 2, 2006 (20.539401356646 yrs)
Last Updated
Oct 20, 2012
Licenses
39133 (WI)
39133 (WI)
39133 (WI)

Practice Information

Address
34700 VALLEY RD
OCONOMOWOC, WI, 530664500
Browse WI providers · Browse ZIP 53066
Phone
2626461391
Fax
2626461393
Primary Specialty
Addiction Medicine (Internal Medicine)
207RA0401X
Additional Specialty
Internal Medicine

Other Addiction Medicine (Internal Medicine) Providers in OCONOMOWOC, WI

Name Credential NPI
MICHELLE A. BENSEN MD 1821193491
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.