Organization
HOFFMAN GERIATRIC SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY L HOFFMAN (OWNER)
(920) 686-1822
Entity
Organization
Contact information
Practice address
2021 S ALVERNO RD, MANITOWOC, WI 54220
(920) 686-1822
(920) 686-7448
Mailing address
2021 S ALVERNO RD, MANITOWOC, WI 54220
(920) 686-1822
(920) 686-7448
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
37871020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32241400
—
WI
Enumeration date
10/13/2006
Last updated
08/22/2020
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