Robert L Dohlman, MD

Individual provider Active NPI Family Medicine Physician · Durand, WI

NPI 1154381069 · NPPES record last updated Jan 10, 2020

Key facts

NPI
1154381069
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
23949 (WI)
Practice address
905 7TH Ave W
Durand, WI 54736-1755
Phone
(715) 672-5981
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23949WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Castleberg Clinic SC Family Medicine Current Accepting new patients

Locations

905 7th Ave W
Durand, WI 54736
Phone (715) 672-5981

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23949 WI
Family Medicine Physician 207Q00000X 23949 WI Yes

Addresses

Primary practice location

905 7TH Ave W
Durand, WI 54736-1755

Mailing address

905 7TH Ave W
Durand, WI 54736-1755
Phone (715) 672-5981

Other identifiers

IdentifierTypeStateIssuer
23949OtherWILICENSE

Other providers in Durand, WI

All providers in Durand, WI · Family Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.