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Individual

ANN HODGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1010 BALLPARK RD STE 3, STURGIS, SD 57785-2208
(605) 720-4520
(605) 720-4525
Mailing address
1010 BALLPARK RD STE 3, STURGIS, SD 57785-2208
(605) 720-4520
(605) 719-1027

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CP000216
SD
207Q00000X
Family Medicine Physician
R023144
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5300840
SD
Enumeration date
07/10/2006
Last updated
07/29/2020
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