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1124310172

NPI Code Detail

MEDICARE: DR. MICHAEL S HOFFMAN MD

MEDICARE: DR. MICHAEL S HOFFMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036151579	IL
2	207RP1001X	Pulmonary Disease Physician	76626	MN
3	207RP1001X	Pulmonary Disease Physician	MD-41866	IA

General Provider Information

NPI Number	:	1124310172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL S HOFFMAN MD

Provider Business Mailing Address
First Line	:	4500 UTICA RIDGE RD
Second Line	:
City	:	BETTENDORF
State	:	IA
Zip	:	52722-1626
Country	:	US
Telephone Number	:	563-742-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 UTICA RIDGE RD
Second Line	:
City	:	BETTENDORF
State	:	IA
Zip	:	52722-1626
Country	:	US
Telephone Number	:	563-742-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2011
Last Update Date	:	11/08/2024

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Directions to “ DR. MICHAEL S HOFFMAN MD” Practice Location

Language	Start Address	Practice Location

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