Individual
DR. THOMAS JOSEPH HOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3111 GUNDERSEN DR, ONALASKA, WI 54650-8447
(307) 752-7546
Mailing address
PO BOX 155, BIG HORN, WY 82833-0155
(307) 752-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
19597-20
WI
207N00000X
Dermatology Physician
2751A
WY
207N00000X
Dermatology Physician
D0067132
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101611300
—
WY
05
—
74659
—
MT
01
—
756071235
RAILROAD MEDICARE
WY
Enumeration date
12/21/2005
Last updated
02/27/2013
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