| Hoffman Geriatric Services Sc | |
|
2021 S Alverno Rd Manitowoc WI 54220 | |
| (920) 686-1822 | |
| (920) 686-7448 |
| Full Name | Hoffman Geriatric Services Sc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 2021 S Alverno Rd, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Tracy L Hoffman (OWNER) |
| Authorized Official Contact | 9206861822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoffman Geriatric Services Sc 2021 S Alverno Rd Manitowoc WI 54220 Ph: (920) 686-1822 | Hoffman Geriatric Services Sc 2021 S Alverno Rd Manitowoc WI 54220 Ph: (920) 686-1822 |
| NPI Number | 1396835328 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396835328 | NPI | - | NPPES |
| 32241400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 37871020 (Wisconsin) | Primary |
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