Individual
RICHARD HUNTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 22ND AVENUE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
(608) 324-2469
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
73275
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306228572
—
WI
Enumeration date
06/24/2015
Last updated
09/12/2023
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