Individual
DAVID MILO HIRSCHI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MRM-1386
ID
207QS0010X
Sports Medicine (Family Medicine) Physician
01080150A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
72217
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001175249
ANTHEM BCBS
IN
Enumeration date
06/16/2014
Last updated
05/04/2021
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