Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 32460 | WI |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 32460 | WI |
NPI | 1063513760 |
---|---|
Provider Name | Thomas F Hitchcock |
First Address | Marshfield, WI 54449-5703 |
Second Address | Marshfield, WI 54449-5703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 13/09/2012 |