Individual
MICHAEL D HOFTIEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28153
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100003091
WEA
WI
01
—
110079278
RAILROAD MEDICARE
WI
01
—
20016
NETWORK HEALTH PLAN
WI
01
—
28153
TOUCHPOINT
WI
05
—
30838500
—
WI
01
—
390806395002
CHAMPUS
WI
01
—
B53651
CIGNA
WI
Enumeration date
08/29/2006
Last updated
01/31/2012
Update your record
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