Individual
MICHAEL J HODOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6018
WI
363LG0600X
Gerontology Nurse Practitioner
6018
WI
364SG0600X
Gerontology Clinical Nurse Specialist
6018
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437551850
—
WI
Enumeration date
09/17/2014
Last updated
11/06/2024
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