Individual provider · Type 1 NPI
Thomas Lee Kintzinger, MD
Specialist · Hayward, WI
NPI number
1588779441
Active
Practice location
12550 W Moreland Rd # 67
Hayward, WI 54843-4525
Mailing address
PO Box 67, 12550W Moreland Road
Hayward, WI 54843-0067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 25319-020 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1588779441
Thomas Lee Kintzinger, MD's National Provider Identifier is 1588779441, issued on Aug 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hayward, WI. The record was last updated on Jul 8, 2007.