Individual
DR. MICHAEL BRIAN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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