Organization
HOFFMANN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GREGORY HOFFMANN M.D. (SOLE PROPRIETOR)
(715) 942-2154
Entity
Organization
Contact information
Practice address
199 S DIVISION ST, WAUPACA, WI 54981-1582
(715) 942-2154
(715) 942-2156
Mailing address
199 S DIVISION ST, WAUPACA, WI 54981-1582
(715) 942-2154
(715) 942-2156
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
26569
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30628400
—
WI
Enumeration date
02/26/2008
Last updated
03/07/2008
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