Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 07000315A | IN |
NPI | 1083635866 |
---|---|
Provider Name | Dr. Michael S Hoffman |
First Address | Bloomington, IN 47403-2504 |
Second Address | Bloomington, IN 47403-2504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 22/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100224230 | (05) | IN |
480029018 | RRMR (01) | IN |
T35018 | (02) | IN |