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NPI Code Detail

MEDICARE: THOMAS E HOESCH II RN

MEDICARE:   THOMAS E HOESCH II RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse4704343419MI

General Provider Information

NPI Number : 1790615136
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS E HOESCH II RN
Provider Business Mailing Address
First Line : 2476 142ND AVE
Second Line :
City : HOLLAND
State : MI
Zip : 49424-1619
Country : US
Telephone Number : 616-836-3157
Fax Number :
Provider Business Practice Location Address
First Line : 602 MICHIGAN AVE
Second Line :
City : HOLLAND
State : MI
Zip : 49423-4918
Country : US
Telephone Number : 616-392-5141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ THOMAS E HOESCH II RN” Practice Location

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