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Individual

COURTNEY T. HOGENDORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8060
(608) 263-5011
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40950-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32611100
WI
Enumeration date
02/02/2006
Last updated
01/29/2021
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