Active NPI
William Drew Palin, M.D.
- Family Medicine Physician
- Milwaukee, WI
National Provider Identifier
1104171586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24592-20
- Practice address
- 735 N Water St
Suite 911
Milwaukee, WI 53202-4100 - Phone
- (507) 322-3712
- NPI assigned
- Jul 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24592-20 | WI | Primary |
Addresses
Primary practice location
735 N Water St
Suite 911
Milwaukee, WI 53202-4100
Mailing address
735 N Water St
Suite 911
Milwaukee, WI 53202-4100
Phone (507) 322-3712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24592-20 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1104171586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 N WATER ST",
"address_2": "SUITE 911",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024100",
"telephone_number": "507-322-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 N WATER ST",
"address_2": "SUITE 911",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024100",
"telephone_number": "507-322-3712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALIN",
"first_name": "WILLIAM",
"middle_name": "DREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-20",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "24592-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.