Provider Demographics
NPI:1124088786
Name:HOY, EDWARD J (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:J
Last Name:HOY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:123 HOSPITAL DR
Mailing Address - Street 2:STE 1002
Mailing Address - City:WATERTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53098
Mailing Address - Country:US
Mailing Address - Phone:920-261-8225
Mailing Address - Fax:920-261-5343
Practice Address - Street 1:123 HOSPITAL DR
Practice Address - Street 2:STE 1002
Practice Address - City:WATERTOWN
Practice Address - State:WI
Practice Address - Zip Code:53098
Practice Address - Country:US
Practice Address - Phone:920-261-8225
Practice Address - Fax:920-261-5343
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2011-11-10
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Provider Licenses
StateLicense IDTaxonomies
WI23643207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30396800Medicaid
B53708Medicare UPIN
WI30396800Medicaid