Individual
SAMANTHA HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1700
(414) 955-0072
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1700
(414) 955-0072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12975
MN
363A00000X
Physician Assistant
Primary
4632
WI
363AS0400X
Surgical Physician Assistant
4632
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417429812
—
WI
Enumeration date
12/23/2018
Last updated
10/01/2024
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