IndividualActive
Alex Hogarth
NPI 1053909655 · Physician Assistant · Traverse City, MI
Provider details
- NPI number
- 1053909655
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5601010345 (MI)
Practice location
1221 6th St Ste 300
Traverse City, MI 49684-2360
Phone: (231) 935-2400
Mailing address
1221 6th St Ste 300
Traverse City, MI 49684-2360
Registry dates
- Enumerated
- 2021-01-08
- Last updated
- 2024-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.