Individual
BRANDON MICHAEL HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7002
Mailing address
7100 COON ROCK RD, ARENA, WI 53503-9306
(608) 588-5859
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
242459-30
WI
363LF0000X
Family Nurse Practitioner
Primary
14646-33
WI
Other
Enumeration date
12/22/2022
Last updated
12/07/2023
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