Individual
TINA HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
62895
MN
207X00000X
Orthopaedic Surgery Physician
Primary
67743-20
WI
Other
Enumeration date
07/13/2010
Last updated
11/10/2025
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