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Individual

MICHAEL S. HIRSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3203 STEIN BOULEVARD, EAU CLAIRE, WI 54701-6995
(715) 835-6548
(715) 835-7708
Mailing address
3217 STEIN BOULEVARD, EAU CLAIRE, WI 54701-6995
(715) 835-6548
(715) 835-7708

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39977
WI
208800000X
Urology Physician
42190
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19-00545
MEDICA
WI
01
19-00548
MEDICA
MN
01
208D1HI
HMO OF WISCONSIN
WI
05
32542000
WI
01
340000691
WAUSAU INSURANCE
WI
05
3490653-00
MN
01
59889
SECURITY HEALTH PLAN
WI
Enumeration date
10/31/2006
Last updated
09/03/2009
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