Individual
SANDRA K HOOGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
143 SOUTH GIBSON STREET, MEDFORD, WI 54451-1622
(715) 748-2121
(715) 748-7590
Mailing address
143 SOUTH GIBSON STREET, MEDFORD, WI 54451-1622
(715) 748-2121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
706
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42937300
—
WI
Enumeration date
08/12/2006
Last updated
05/14/2012
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