Individual
DR. MARC A DEMOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVENUE, TRAUMA SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Mailing address
9200 W WISCONSIN AVENUE, TRAUMA SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
223920
MA
2086S0102X
Surgical Critical Care Physician
223920
MA
2086S0102X
Surgical Critical Care Physician
Primary
67333
WI
2086S0127X
Trauma Surgery Physician
67333
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588655781
—
WI
05
—
2103800
—
MA
01
—
468295
TUFTS HEALTH PLAN
MA
01
—
J28713
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us