Stephen Hubbard, MD | |
112 E 5th Ave, Antigo, WI 54409-2710 | |
(715) 623-2351 | |
Not Available |
Full Name | Stephen Hubbard |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 112 E 5th Ave, Antigo, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366434961 | NPI | - | NPPES |
32482900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 40458-20 (Wisconsin) | Primary |
208600000X | Surgery | 40458-020 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 40458-020 (Wisconsin) | Secondary |
Entity Name | Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831251040 PECOS PAC ID: 1557271202 Enrollment ID: O20040212000310 |
Entity Name | Aspirus Merrill Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124084678 PECOS PAC ID: 0143117556 Enrollment ID: O20040301001179 |
Mailing Address | Practice Location Address |
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Stephen Hubbard, MD Po Box 243, Wild Rose, WI 54984-0243 Ph: (920) 622-3257 | Stephen Hubbard, MD 112 E 5th Ave, Antigo, WI 54409-2710 Ph: (715) 623-2351 |
Michael S Moore, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-2331 | |
Dr. Marc D Biedermann, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-2331 |