Individual
DR. JENNIFER A HOAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 456-4170
(414) 456-6543
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 456-4170
(414) 456-6543
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2812-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033342183
—
WI
01
—
2812-057
LICENSE (WISCONSIN)
WI
Enumeration date
08/24/2009
Last updated
08/16/2012
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