Individual
CORNELIUS W HYZER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
(715) 526-3461
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 830-5900
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62809-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
62809-20
WI
Other
Enumeration date
08/25/2014
Last updated
07/18/2016
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