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NPI Code Detail

MEDICARE: DR. JOHN C HILGENBERG M.D.

MEDICARE: DR. JOHN C HILGENBERG M.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
1207L00000XAnesthesiology Physician01026257AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1791053346OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000191091OTHERINBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1942273222
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN C HILGENBERG M.D.
Provider Business Mailing Address
First Line : PO BOX 1766
Second Line :
City : WARSAW
State : IN
Zip : 46581-1766
Country : US
Telephone Number : 574-453-4887
Fax Number :
Provider Business Practice Location Address
First Line : 2101 DUBOIS DR
Second Line :
City : WARSAW
State : IN
Zip : 46580-3210
Country : US
Telephone Number : 574-453-4887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 10/21/2016

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