| Michael D Hoftiezer, MD | |
|
1900 Woodland Dr, Manitowoc, WI 54220-9662 | |
| (920) 320-6212 | |
| (920) 684-5548 |
| Full Name | Michael D Hoftiezer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1900 Woodland Dr, Manitowoc, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639287618 | NPI | - | NPPES |
| 100003091 | Other | WI | WEA |
| 28153 | Other | WI | TOUCHPOINT |
| 390806395002 | Other | WI | CHAMPUS |
| 20016 | Other | WI | NETWORK HEALTH PLAN |
| 30838500 | Medicaid | WI | |
| B53651 | Other | WI | CIGNA |
| 110079278 | Other | WI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28153 (Wisconsin) | Primary |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Hoftiezer, MD Po Box 2290, Manitowoc, WI 54221-2290 Ph: (920) 320-2591 | Michael D Hoftiezer, MD 1900 Woodland Dr, Manitowoc, WI 54220-9662 Ph: (920) 320-6212 |
Vladimir N Swerchowsky, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 | |
Mary A Govier, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Manitowoc, WI 54220 Phone: 920-320-6212 Fax: 920-684-5548 | |
Dr. Pooja Bharat Patel, MD, MBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 262-505-9131 | |
Tamiru Ertiro Tumdedo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Dr. Michael J Rosenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 | |
Matthew Gentile, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 Fax: 920-320-3049 | |
Mark Leonard Herring, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1355 Johnston Dr, Manitowoc, WI 54220 Phone: 920-682-2747 Fax: 920-686-1498 |