Individual
SCOTT M HODGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-3388
(920) 288-3370
Mailing address
2845 GREENBRIER RD, PO BOX 8900, GREEN BAY, WI 54308-8900
(920) 288-3388
(920) 288-3370
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26992
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104514478
—
MI
05
—
104514487
—
MI
05
—
30650500
—
WI
01
—
P00034402
RAILROAD
WI
Enumeration date
06/30/2006
Last updated
08/29/2008
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