Provider Demographics
NPI:1740415264
Name:HOFMANN, MIKEL ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MIKEL
Middle Name:ANNE
Last Name:HOFMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 VARNUM ST NE STE 103
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2100
Mailing Address - Country:US
Mailing Address - Phone:202-930-2380
Mailing Address - Fax:202-853-9713
Practice Address - Street 1:1140 VARNUM ST NE STE 103
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2100
Practice Address - Country:US
Practice Address - Phone:202-930-2380
Practice Address - Fax:202-853-9713
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD040025207Q00000X
MDD0073026207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine