Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 35337 | WI |
Y | 213ES0000X | Sports Medicine | 35337 | WI |
NPI | 1477504207 |
---|---|
Provider Name | Ms. Anne Hoch |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 21/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003000215 | HUMANA (01) | |
1477504207 | (05) | WI |
G64017 | (02) |