Individual
DR. MICHAEL R HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 W BUENA VISTA RD, EVANSVILLE, IN 47710-5150
(812) 423-3131
(812) 426-7020
Mailing address
1020 W BUENA VISTA RD, EVANSVILLE, IN 47710-5150
(812) 423-3131
(812) 426-7020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01055572A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200357080A
—
IN
Enumeration date
06/30/2005
Last updated
12/16/2020
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