Provider Demographics
NPI:1457339913
Name:DOUBEK, WILLIAM G (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:G
Last Name:DOUBEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:2400 WITZEL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54904-8375
Mailing Address - Country:US
Mailing Address - Phone:920-233-1540
Mailing Address - Fax:920-651-6951
Practice Address - Street 1:2400 WITZEL AVE STE A
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54904-8375
Practice Address - Country:US
Practice Address - Phone:920-233-1540
Practice Address - Fax:920-651-6951
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI39879-20208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery