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Individual

HEATHER N HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
195 DISCOVERY DR, BROOKFIELD, WI 53045-2862
(262) 513-7100
Mailing address
1135 CRYSTAL DR, BROOKFIELD, WI 53005-7001
(414) 388-6087

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
798423
WI

Other

Enumeration date
09/05/2024
Last updated
09/05/2024
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