Individual
THOMAS M BACHHUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(414) 672-4265
Mailing address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(414) 672-4265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29604
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0509990
CIGNA
WI
05
—
31554000
—
WI
01
—
4567717
AETNA
WI
01
—
5608340
FIRST HEALTH CARE
WI
Enumeration date
06/17/2005
Last updated
03/07/2023
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