| Nicholas Hoffmann, DO | |
|
405 Stageline Rd, Hudson, WI 54016-7848 | |
| (715) 531-6000 | |
| Not Available |
| Full Name | Nicholas Hoffmann |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 405 Stageline Rd, Hudson, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043897655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 81486 (Wisconsin) | Primary |
| 207P00000X | Emergency Medicine | 76725 (Minnesota) | Secondary |
| Entity Name | Lakeview Memorial Hospital Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821114729 PECOS PAC ID: 1951210855 Enrollment ID: O20031104000543 |
| Entity Name | Regions Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Hoffmann, DO 3525 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-8839 | Nicholas Hoffmann, DO 405 Stageline Rd, Hudson, WI 54016-7848 Ph: (715) 531-6000 |
Heather Kaluzniak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Tammie J Haveman, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Dr. Brian J Peterson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Kari Haley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Haley Ruth Taormina, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Eric Dahl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 |