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Thomas Lee Kintzinger, MD
Specialist in Hayward, Wisconsin
NPI 1588779441

Thomas Lee Kintzinger is a Specialist based in Hayward, WI. Thomas Lee Kintzinger practices in Hayward, WI and has the professional credentials of MD. The NPI Number for Thomas Lee Kintzinger is 1588779441 and holds a License No. 25319-020 (Wisconsin).

The current practice location address for Thomas Lee Kintzinger is 12550 W Moreland Rd # 67, Hayward, WI and can be reached out via phone at 715-462-3770.

Location: 12550 W Moreland Rd # 67, Hayward, WI, 54843-0067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588779441
Provider Name
Thomas Lee Kintzinger
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12550 W Moreland Rd # 67, Hayward, WI, 54843-0067
Phone Number
715-462-3770
Fax Number
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31468500 05 WI
institution
Provider Business Practice Location Address Details
Address
12550 W Moreland Rd # 67
City
Hayward
State
Wisconsin
Zip
54843-4525
Phone Number
715-462-3770
Fax Number
person
Provider Business Mailing Address Details
Address
12550 W Moreland Rd # 67
City
Hayward
State
Wisconsin
Zip
54843-4525
Phone Number
715-462-3770
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25319-020 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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