| Brian Van Hoozen Do Sc | |
|
1505 Mill St New London WI 54961-2187 | |
| (920) 982-7900 | |
| (920) 982-7995 |
| Full Name | Brian Van Hoozen Do Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1505 Mill St, New London, Wisconsin |
| Authorized Official Name and Position | Brian L Van Hoozen (OWNER) |
| Authorized Official Contact | 9209827900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Van Hoozen Do Sc Po Box 96 New London WI 54961-0096 Ph: (920) 982-7900 | Brian Van Hoozen Do Sc 1505 Mill St New London WI 54961-2187 Ph: (920) 982-7900 |
| NPI Number | 1851563472 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 5890969679 |
|---|---|
| Medicare Enrollment ID | O20111111000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851563472 | NPI | - | NPPES |
| 32699 | Other | WI | LICENSE NUMBER |
| 30054700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 32699 (Wisconsin) | Primary |
| Provider Name | Brian L Vanhoozen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821170986 PECOS PAC ID: 8729170618 Enrollment ID: I20070823000275 |
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