Healthcare Provider Details

I. General information

NPI: 1023022506
Provider Name (Legal Business Name): ALAN J HOYER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 03/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80650 VAN DYKE RD
BRUCE TWP MI
48065-1333
US

IV. Provider business mailing address

80650 VAN DYKE RD
ROMEO MI
48065
US

V. Phone/Fax

Practice location:
  • Phone: 810-798-6430
  • Fax: 810-798-6436
Mailing address:
  • Phone: 810-798-6430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberAH045794
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301045794
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: