Individual
THOMAS LEE KINTZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12550 W MORELAND RD # 67, HAYWARD, WI 54843-4525
(715) 462-3770
Mailing address
PO BOX 67, 12550W MORELAND ROAD, HAYWARD, WI 54843-0067
(715) 462-3770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25319-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31468500
—
WI
Enumeration date
08/20/2006
Last updated
07/08/2007
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