Individual
DYLAN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 UNIVERSITY AVE APT 508, MADISON, WI 53705-3808
(608) 370-9422
Mailing address
2550 UNIVERSITY AVE APT 508, MADISON, WI 53705-3808
(608) 370-9422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8450-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881371383
—
WI
Enumeration date
06/28/2023
Last updated
09/09/2025
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