Individual
DR. JOHN C HILGENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 DUBOIS DR, WARSAW, IN 46580-3210
(574) 453-4887
Mailing address
PO BOX 1766, WARSAW, IN 46581-1766
(574) 453-4887
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01026257A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191091
BLUE CROSS BLUE SHIELD
IN
05
—
100061130A
—
IN
01
—
791053346
RAILROAD MEDICARE
IN
Enumeration date
02/08/2006
Last updated
10/21/2016
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