Provider Demographics
NPI:1720878812
Name:HOGAN, MARGARET DRYDEN (RDN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:DRYDEN
Last Name:HOGAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 TUPPER LAKE WAY
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-8469
Mailing Address - Country:US
Mailing Address - Phone:810-923-8339
Mailing Address - Fax:810-923-8339
Practice Address - Street 1:4302 TUPPER LAKE WAY
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-8469
Practice Address - Country:US
Practice Address - Phone:810-923-8339
Practice Address - Fax:810-923-8339
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty