Individual
AMANDA HOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF PATHOLOGY FMCLB 239, MILWAUKEE, WI 53226-3522
(414) 805-8466
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF PATHOLOGY FMCLB 239, MILWAUKEE, WI 53226-3522
(414) 805-3000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
66421
WI
207ZP0213X
Pediatric Pathology Physician
Primary
66421
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730574484
—
WI
Enumeration date
03/31/2015
Last updated
06/02/2021
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