Individual
PETER HOGENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 COMMONS ST, RUTLAND, VT 05701-4651
(802) 747-3359
(802) 786-5204
Mailing address
10 COMMONS ST, RUTLAND, VT 05701-4651
(802) 747-3359
(802) 786-5204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420009516
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1657
—
VT
Enumeration date
06/30/2006
Last updated
07/08/2007
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