Individual
JEFFREY B HILTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 S TILLOTSON AVE, MUNCIE, IN 47304-4447
(765) 213-2234
Mailing address
503 S TILLOTSON AVE, MUNCIE, IN 47304-4447
(765) 213-2234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042668
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20066300
—
IN
Enumeration date
02/22/2006
Last updated
07/08/2007
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