Individual
DR. MARK E HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N MAYFAIR RD STE 670, SUITE 670, MILWAUKEE, WI 53226-1444
(414) 453-7418
(414) 453-7420
Mailing address
2500 N MAYFAIR RD STE 670, SUITE 670, MILWAUKEE, WI 53226-1444
(414) 453-7418
(414) 453-7420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47914
WI
207XS0106X
Orthopaedic Hand Surgery Physician
47914
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039906262U
HUMANA
—
05
—
34648700
—
WI
Enumeration date
05/15/2006
Last updated
09/18/2014
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