Individual
CINDY B HANKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 STATE ST, FOX LAKE, WI 53933-9550
(920) 928-6300
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1153
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003800
TOUCHPOINT
WI
01
—
12978
DEAN
WI
01
—
390807236A8
UNITY
WI
05
—
43875000
—
WI
01
—
500020856
RAILROAD MEDICARE
WI
01
—
WI01L9
JOHN DEERE
WI
Enumeration date
11/03/2005
Last updated
03/10/2016
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