| Michael H Hetzner, DO | |
|
632 Fremont St, Kiel, WI 53042-1321 | |
| (920) 894-3322 | |
| Not Available |
| Full Name | Michael H Hetzner |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 632 Fremont St, Kiel, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942295464 | NPI | - | NPPES |
| 30040900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27988 (Wisconsin) | Primary |
| Entity Name | Ascension Calumet Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael H Hetzner, DO 632 Fremont St, Kiel, WI 53042-1321 Ph: (920) 894-3322 | Michael H Hetzner, DO 632 Fremont St, Kiel, WI 53042-1321 Ph: (920) 894-3322 |
Eman Wja Jammali, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Service Rd, Kiel, WI 53042 Phone: 920-894-2636 | |
Dr. David J Deubler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Service Rd, Kiel, WI 53042 Phone: 920-894-2636 Fax: 920-894-1005 | |
Sarah Elizabeth Weiss, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Service Rd, Kiel, WI 53042 Phone: 920-894-2636 |