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NPI Code Detail

MEDICARE: HANNAH P HUTH PA

MEDICARE: HANNAH P HUTH PA
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
1363A00000XPhysician Assistant3130-23WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811336530
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH P HUTH PA
Provider Business Mailing Address
First Line : W222N4726 SEVEN OAKS DR
Second Line :
City : PEWAUKEE
State : WI
Zip : 53072-2009
Country : US
Telephone Number : 262-352-5266
Fax Number : 826-275-0054
Provider Business Practice Location Address
First Line : W231N1440 CORPORATE CT
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1303
Country : US
Telephone Number : 262-896-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2013
Last Update Date : 06/08/2026

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