William C Hultman, PA-C
Individual provider Active NPI Physician Assistant · Menominee, MI
NPI 1720160849 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720160849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601002439 (MI)
- Practice address
- 1100 10TH St
Menominee, MI 49858-3027 - Phone
- (906) 863-7897
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002439 | MI | Yes |
Addresses
Primary practice location
1100 10TH St
Menominee, MI 49858-3027
Mailing address
1100 10TH St
Menominee, MI 49858-3027
Phone (906) 863-7897
Other providers in Menominee, MI
- Heritage Hearing Care
- Debra J Hilling
- Steven Joseph Horn
- Joshua E Hulkonen
- Ramona M Hulkonen
- Jock Hyland
- Ireland Family Chiropractic
- Kevin E Ireland
- Sandra L. Ireland
- Iron Mountain Vamc
All providers in Menominee, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.