Individual
DR. TIFFANY A HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 771-8228
(414) 256-1909
Mailing address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 771-8228
(414) 256-1909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34522
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005006261V
HUMANA
—
05
—
31946700
—
WI
Enumeration date
05/12/2006
Last updated
08/17/2010
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