Individual
ELIZABETH ANN HOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
23901 LAHSER RD, SOUTHFIELD, MI 48033-6035
(248) 357-3360
Mailing address
PO BOX 660857, DALLAS, TX 75266-0857
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704238863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841575750
—
MI
01
—
4308718400
BCBS PROVIDER PIN
MI
01
—
P01015132
RAILROAD MEDICARE
MI
Enumeration date
10/12/2011
Last updated
02/07/2025
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