Organization
MARK HOCHMUTH PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOCHMUTH MD (PRESIDENT)
(414) 259-0205
Entity
Organization
Contact information
Practice address
11803 W NORTH AVE, WAUWATOSA, WI 53226-2077
(414) 259-0205
Mailing address
11803 W NORTH AVE, WAUWATOSA, WI 53226-2077
(414) 259-0205
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1356-57
WI
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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