Thomas B. Huizenga, M.D.,S.C.

LBN: Thomas B. Huizenga, M.D.,S.C.
Thomas B. Huizenga, M.D.,S.C. is an health care organization with primary practice located at 525 W River Woods Pkwy Ste 130 , Glendale WI 53212-1010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Thomas B. Huizenga, M.D.,S.C. can be contacted via phone (414) 961-0304, or through Bost, Charlene D via phone (414) 961-0304.

Contact Information

Primary practice address
525 W River Woods Pkwy Ste 130 Glendale WI 53212-1010
Phone: (414) 961-0304
Fax: (414) 961-2061
Website:
Map and Directions
Authorized official contact:
Name: Bost, Charlene D
Phone: (414) 961-0304

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 49399 Wisconsin

Profile Details

NPI number 1497935290
LBN Legal business name Thomas B. Huizenga, M.D.,S.C.
DBA Doing business as
Authorized official Bost, Charlene D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2007
Last updated May 22nd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497935290 NPPES
Wisconsin MEDICAID 34874500

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