Individual
TANYA KAUSCH HOERNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 DEHNE DRIVE, COLBY, WI 54421
(715) 387-5704
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47449
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34587500
—
WI
Enumeration date
08/30/2006
Last updated
07/08/2007
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