Individual
HANNAH P HUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1284 N SUMMIT AVE, OCONOMOWOC, WI 53066-4459
(262) 569-3080
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3130-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030394
—
WI
05
—
1811336530
—
WI
Enumeration date
06/15/2013
Last updated
10/16/2023
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