Individual
BRANT HOGGATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
904 PARKWAY AVE, ELKHART, IN 46516-9337
(574) 970-7444
Mailing address
904 PARKWAY AVE, ELKHART, IN 46516-9337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004574A
IN
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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