Individual
COLLEEN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(414) 385-7551
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8089
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5184-16
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508322199
—
WI
Enumeration date
02/19/2019
Last updated
05/04/2023
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