Individual
MARTHA A. HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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