# HOFFMANN CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518136282
- **Authorized official:** DR. JOHN GREGORY HOFFMANN M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (715) 942-2154

## Contact information

- **Practice address:** 199 S DIVISION ST, WAUPACA, WI 54981-1582
- **Practice address phone:** (715) 942-2154
- **Practice address fax:** (715) 942-2156
- **Mailing address:** 199 S DIVISION ST, WAUPACA, WI 54981-1582
- **Mailing address phone:** (715) 942-2154
- **Mailing address fax:** (715) 942-2156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 26569 | WI | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 03/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30628400 | — | WI |
