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Individual

THOMAS W HUTH

Active
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Individual

THOMAS W HUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01040082
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000108967
BLUESHIELDREID HOSP-EKG
IN
01
000000735703
ANTHEM (REID PHYSICIAN ASSOCIATES)
05
0080783
OH
05
100257160
IN
Enumeration date
12/27/2005
Last updated
05/14/2021
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