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Individual
THOMAS M BACHHUBER
Active
Individual
THOMAS M BACHHUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29604
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0509990
CIGNA
WI
05
—
31554000
—
WI
01
—
4567717
AETNA
WI
01
—
5608340
FIRST HEALTH CARE
WI
Enumeration date
06/17/2005
Last updated
03/07/2023
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