Individual
DR. ALAN A. HYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16140 HORTON RD., KENOSHA, WI 53142-7937
(262) 857-1133
(866) 853-4506
Mailing address
16140 HORTON RD, KENOSHA, WI 53142-7937
(262) 857-1113
(866) 853-4506
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24838 020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036 057 784
TOTAL CARE
WI
05
—
036057784
—
IL
01
—
131378200
U.S. DEPARTMENT OF LABOR
IL
01
—
310148100
U.S. DEPARTMENT OF LABOR
WI
01
—
364552255011
BLUE SHIELD
WI
01
—
4256749
AETNA
WI
01
—
5105450001
ADMINASTART FEDERAL
WI
01
—
98181
BLUE SHIELD OF IOWA
IL
01
—
L003708
CHAMPUS
IL
Enumeration date
06/24/2005
Last updated
08/29/2008
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