MITCHELL LOUIS JUDGE LI MD NPI 1932442464

NPI Information

NPI: 1932442464
Provider Name: MITCHELL LOUIS JUDGE LI, MD
Classification: Emergency Medicine - 207PE0004X
Specialization: Emergency Medical Services
Entity Type: Individual
PECOS Registration: Yes
Address: 420 E DIVISION ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 926-4600

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NPI Details

Mitchell Louis Judge Li, MD is an emergency medical services emergency medicine in Fond Du Lac, WI with 13 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Mitchell Louis Judge Li, MD NPI is 1932442464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2013

The provider's business location address is:

420 E DIVISION ST
FOND DU LAC, WI
ZIP 54935-560
Phone: (920) 926-4600
Fax: (920) 926-4869

The NPI 1932442464 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2013 and was last updated on 6/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		4301106252	MICHIGAN	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	65823-20	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4301106252	OTHER	MICHIGAN	MI LIMITED LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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