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Individual

DAWN RENAE HODI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
5600 W BROWN DEER RD, SUITE 208, BROWN DEER, WI 53223-2311
(441) 480-7760
Mailing address
2834 N 62ND ST, MILWAUKEE, WI 53210-2117
(414) 807-7609

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2513-146
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2513-146
STATE OF WISCONSIN
WI
Enumeration date
02/05/2011
Last updated
02/05/2011
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