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Individual
DR. BRIAN L VAN HOOZEN
Active
Individual
DR. BRIAN L VAN HOOZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32699
WI
207Q00000X
Family Medicine Physician
Primary
32699
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
05
—
30054700
—
WI
01
—
390848401050
CMH ANTHEM
WI
Enumeration date
10/19/2006
Last updated
09/20/2021
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