Hoftiezer, Michael D

Hoftiezer, Michael D is an individual health care provider with primary practice located at 1900 Woodland Dr , Manitowoc WI 54220-9662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hoftiezer, Michael D can be contacted via phone (920) 320-6212.

Contact Information

Primary practice address
1900 Woodland Dr Manitowoc WI 54220-9662
Phone: (920) 320-6212
Fax: (920) 684-5548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28153 Wisconsin

Profile Details

NPI number 1639287618
LBN Legal business name Hoftiezer, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jan 31st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639287618 NPPES
Wisconsin Other 100003091 WEA
Wisconsin Other 28153 WEA
Wisconsin Other 390806395002 WEA
Wisconsin Other 20016 WEA
Wisconsin MEDICAID 30838500 WEA
Wisconsin Other B53651 WEA
Wisconsin Other 110079278 WEA

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