Individual
GREG A HODDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-3114
Mailing address
4059 COREY CIR, ANN ARBOR, MI 48103-9477
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
070381
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104842530
—
MI
01
—
GH070381
BLUE SHIELD
MI
Enumeration date
06/27/2006
Last updated
05/06/2026
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