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Individual

WILLIAM L HINGTGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1789 SHAWANO, GREEN BAY, WI 54303
(920) 499-1428
(920) 499-5808
Mailing address
PO BOX 3006, GREEN BAY, WI 54303
(920) 499-1428
(920) 499-5808

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27666020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070050005
MEDICARE PTAN
WI
01
072730004
MEDICARE PTAN
WI
01
1018688002
UNITED HC AMERICHOICE
01
1018688003
UNITED HC AMERICHOICE
01
14099
DEAN HEALTH
05
1997675
MI
01
300020917
RR MEDICARE
05
30726300
WI
05
4767202
MI
01
567565
DEAN HEALTH
01
P00028701
RR MEDICARE
Enumeration date
06/20/2006
Last updated
03/25/2013
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