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NPI Code Detail

MEDICARE: BRUCE A HOMA MD

MEDICARE: BRUCE A HOMA MD
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
1207Q00000XFamily Medicine Physician25609WI

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 : 1790852721
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE A HOMA MD
Provider Business Mailing Address
First Line : 5409 VERN HOLMES DR
Second Line :
City : STEVENS POINT
State : WI
Zip : 54482-8853
Country : US
Telephone Number : 715-344-1600
Fax Number :
Provider Business Practice Location Address
First Line : 5409 VERN HOLMES DR
Second Line :
City : STEVENS POINT
State : WI
Zip : 54482-8853
Country : US
Telephone Number : 715-344-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 02/10/2014

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Directions to “ BRUCE A HOMA MD” Practice Location

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