Doctor Name: | JOHN M FILZ |
NPI Number: | 1447205794 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | 568-023 |
Business Practice Address: | 450 Old Abe Rd Lac Du Flambeau, WI - 545389682 |
Business Phone Number: | 7155883371 |
Business Fax Number: | 7155887884 |
Mailing Address: | 409 3rd Ave., HURLEY |
State: | WI |
Postal Code: | 54534 |
Phone Number: | 7155613962 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 568-023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |