Individual
PAUL E HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
900 2ND AVE, MADISON, MN 56256-1006
(320) 598-7551
Mailing address
900 2ND AVE, MADISON, MN 56256-1006
(320) 598-7551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4241
MN
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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