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Individual

NATHANAEL HOGG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(808) 294-7862
Mailing address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(808) 294-7862

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0-1143
ID

Other

Enumeration date
02/27/2015
Last updated
02/21/2024
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