| Doctor Name: | MICHAEL J HODOS |
| NPI Number: | 1003912395 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | POD000792 |
| Business Practice Address: | 833-c Wake Forest Business Park Wake Forest, NC - 275876519 |
| Business Phone Number: | 9195709061 |
| Business Fax Number: | 9195709064 |
| Mailing Address: | 833 C Wake Forest Business Park, WAKE FOREST |
| State: | NC |
| Postal Code: | 275876519 |
| Phone Number: | 9195709061 |
| Fax Number: | 9195709064 |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | POD000792 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |