Individual
DR. THOMAS MICHAEL HULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6810 STATE ROUTE 162, SUITE 301, MARYVILLE, IL 62062-8501
(618) 288-5699
Mailing address
6810 STATE ROUTE 162, SUITE 301, MARYVILLE, IL 62062-8501
(618) 288-5699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361097571
—
IL
Enumeration date
08/15/2006
Last updated
07/08/2007
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