Individual
DR. SAM HOFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4780
Mailing address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53873
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2008
Last updated
08/29/2019
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