Individual
JAMES W HOFTIEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 WOODLAND DR, MANITOWOC, WI 54220-9662
(920) 320-6212
(920) 684-5548
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2591
(920) 684-5548
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
22886
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100003091
WEA
WI
01
—
110080078
RAILROAD MEDICARE
WI
01
—
22886
TOUCHPOINT
WI
05
—
30307800
—
WI
01
—
3908063950002
CHAMPUS
WI
01
—
7805
ANTHEM
WI
01
—
B53650
NETWORK HEALTHPLAN
WI
Enumeration date
08/29/2006
Last updated
11/10/2011
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