Individual
ENISA HODZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57244
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023662
—
WI
Enumeration date
05/15/2009
Last updated
10/31/2023
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