Individual
RENEE A FOUTZ
Active
Individual
RENEE A FOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
43772
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
43772
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001
BCBS
WI
05
—
1720046964
—
WI
Enumeration date
05/03/2006
Last updated
06/05/2021
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