MEDICARE: LAURA HINTZE DO

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
1	207P00000X	Emergency Medicine Physician	010150	AZ
2	207P00000X	Emergency Medicine Physician	02007134A	IN

General Provider Information

NPI Number	:	1063035236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA HINTZE DO

Provider Business Mailing Address
First Line	:	2401 W UNIVERSITY AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-3428
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 W UNIVERSITY AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-3428
Country	:	US
Telephone Number	:	765-747-3111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2020
Last Update Date	:	12/29/2025

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Directions to “ LAURA HINTZE DO” Practice Location

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