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NPI Code Detail

MEDICARE: THOMAS G HOEFT D.O.

MEDICARE: THOMAS G HOEFT D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianR7F70MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053314906
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS G HOEFT D.O.
Provider Business Mailing Address
First Line : 1531 S MADISON ST
Second Line :
City : APPLETON
State : WI
Zip : 54915-1800
Country : US
Telephone Number : 920-996-3700
Fax Number : 920-996-3739
Provider Business Practice Location Address
First Line : 1531 S MADISON ST
Second Line :
City : APPLETON
State : WI
Zip : 54915-1800
Country : US
Telephone Number : 920-996-3700
Fax Number : 920-996-3739
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 12/30/2013

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