Individual
DOUGLAS R. HINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-1530
(608) 265-8887
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
705
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42956900
—
WI
Enumeration date
04/18/2006
Last updated
11/04/2015
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