Healthcare Provider Details

I. General information

NPI: 1467629733
Provider Name (Legal Business Name): ANN HOFFMANN ALLEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN MARIE HOFFMANN MD

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 01/11/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HIGHLAND AVE
MADISON WI
53792-0001
US

IV. Provider business mailing address

7974 UW HEALTH CT
MIDDLETON WI
53562-5531
US

V. Phone/Fax

Practice location:
  • Phone: 608-263-8558
  • Fax: 608-265-9243
Mailing address:
  • Phone: 608-829-5485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number54607-20
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number11013869A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036126028
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number54607-20
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code2080C0008X
TaxonomyChild Abuse Pediatrics Physician
License Number54607-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: