Individual
DR. MICHAEL BRIAN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 REYNOIR ST STE 205, BILOXI, MS 39530-4121
(228) 436-1225
(228) 436-1691
Mailing address
2550 FLOWOOD DR STE 402, FLOWOOD, MS 39232-9307
(228) 388-1805
(601) 936-1395
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01056020A
IN
2086S0129X
Vascular Surgery Physician
Primary
21897
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08885816
—
MS
Enumeration date
09/29/2005
Last updated
10/15/2018
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