Individual
MARY M HUIZINGA
Active
Individual
MARY M HUIZINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D67549
MD
207R00000X
Internal Medicine Physician
Primary
MD39522
TN
207RG0100X
Gastroenterology Physician
D67549
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000699
—
TN
01
—
4158712
BLUE CROSS
TN
05
—
416420200
—
MD
01
—
9587074
AETNA
—
Enumeration date
01/04/2007
Last updated
04/11/2013
Update your record
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