Individual
MARTHA A. HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301063363
MI
207R00000X
Internal Medicine Physician
Primary
44498
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018460
PREFERREDONE
—
01
—
12D77HI
BCBS
MN
05
—
32367500
—
WI
05
—
3352938
—
MI
01
—
700B710030
BCBS
MI
Enumeration date
07/13/2005
Last updated
11/17/2022
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