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Individual
THOMAS B HUIZENGA
Active
Individual
THOMAS B HUIZENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
49399
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34874500
—
WI
Enumeration date
07/13/2006
Last updated
10/23/2019
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