Provider Demographics
NPI:1154597078
Name:HIRSCHTRITT, TODD (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:
Last Name:HIRSCHTRITT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:W129N7055 NORTHFIELD DR
Mailing Address - Street 2:PULMONARY DISEASE
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-0538
Mailing Address - Country:US
Mailing Address - Phone:262-253-5400
Mailing Address - Fax:262-253-6080
Practice Address - Street 1:W129N7055 NORTHFIELD DR
Practice Address - Street 2:PULMONARY DISEASE
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-0538
Practice Address - Country:US
Practice Address - Phone:262-253-5400
Practice Address - Fax:262-253-6080
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL336-077322207R00000X
WI63428207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1154597078Medicaid
WIK400196889Medicare PIN