Healthcare Provider Details

I. General information

NPI: 1811003510
Provider Name (Legal Business Name): MICHAEL ROBERT HOHMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 W HURON AVE
VASSAR MI
48768-1235
US

IV. Provider business mailing address

7685 ORMES RD
VASSAR MI
48768-9678
US

V. Phone/Fax

Practice location:
  • Phone: 989-823-9200
  • Fax: 989-823-9937
Mailing address:
  • Phone: 989-823-7526
  • Fax: 989-823-9937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302028155
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: