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NPI Code Detail

MEDICARE: DR. SAM TZEN-YUE HWANG M.D., PH.D.

MEDICARE: DR. SAM TZEN-YUE HWANG M.D., PH.D.
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
1207N00000XDermatology PhysicianMD424949PA
2207N00000XDermatology Physician52541WI

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 : 1760500813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAM TZEN-YUE HWANG M.D., PH.D.
Provider Business Mailing Address
First Line : 9200 W WISCONSIN AVE
Second Line : SUITE 4100
City : MILWAUKEE
State : WI
Zip : 53226-3522
Country : US
Telephone Number : 414-955-3100
Fax Number : 414-955-6221
Provider Business Practice Location Address
First Line : 9200 W WISCONSIN AVE
Second Line : SUITE 4100
City : MILWAUKEE
State : WI
Zip : 53226-3522
Country : US
Telephone Number : 414-955-3100
Fax Number : 414-955-6221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 02/27/2013

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