Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 55313 | MN |
N | 207VX0201X | Gynecologic Oncologist | 55313 | MN |
Y | 207VX0201X | Gynecologic Oncologist | 77598 | MT |
NPI | 1174818819 |
---|---|
Provider Name | Alexis N Hokenstad |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2011 |
Last Update Date | 16/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ENROLLED | (05) | IA |
ENROLLED | (05) | MN |
ENROLLED | (05) | SD |