Provider Demographics
NPI:1407820145
Name:HILGEMAN, JOSEPH T (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:T
Last Name:HILGEMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 DES PERES RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:DES PERES
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2050
Mailing Address - Country:US
Mailing Address - Phone:314-821-1313
Mailing Address - Fax:314-821-5670
Practice Address - Street 1:1000 DES PERES RD
Practice Address - Street 2:SUITE 310
Practice Address - City:DES PERES
Practice Address - State:MO
Practice Address - Zip Code:63131-2050
Practice Address - Country:US
Practice Address - Phone:314-821-1313
Practice Address - Fax:314-821-5670
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2015-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR8J92207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO110171878OtherRAILROAD MEDICARE
MOE43768Medicare UPIN
MO967535280Medicare PIN