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NPI Code Detail

MEDICARE: ERIC W HILQUIST MD

MEDICARE:   ERIC W HILQUIST  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 Physician45813-020WI
2207QS0010XSports Medicine (Family Medicine) Physician45813-020WI

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 : 1841242021
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC W HILQUIST MD
Provider Business Mailing Address
First Line : 1265 JOHN Q HAMMONS DR
Second Line :
City : MADISON
State : WI
Zip : 53717-1921
Country : US
Telephone Number : 608-251-4156
Fax Number :
Provider Business Practice Location Address
First Line : 3051 CAHILL MAIN
Second Line :
City : FITCHBURG
State : WI
Zip : 53711-7109
Country : US
Telephone Number : 608-661-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 09/26/2012

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