Individual
SCOTT M HODGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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