Individual
JOSEPH L HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4060
(920) 288-4067
Mailing address
2845 GREENBRIER RD, PO BOX 8900, GREEN BAY, WI 54308-8900
(920) 288-4060
(920) 288-4067
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28241
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104470711
—
MI
05
—
104470720
—
MI
05
—
31385800
—
WI
01
—
930070519
RAILROAD
WI
Enumeration date
06/29/2006
Last updated
08/29/2008
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