Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 40759 | WI |
N | 207Q00000X | Family Doctor | 40759 | WI |
Y | 207Q00000X | Family Doctor | 40759-020 | WI |
NPI | 1013003060 |
---|---|
Provider Name | Thomas K. Hunt |
First Address | Durand, WI 54736-1600 |
Second Address | Durand, WI 54736-1600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 10/04/2020 |