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NPI Code Detail

MEDICARE: HILLICHIEN W HOEKMAN MD

MEDICARE: HILLICHIEN W HOEKMAN MD
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
1207Q00000XFamily Medicine Physician4301060455MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10700061OTHERMIBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215007638
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILLICHIEN W HOEKMAN MD
Provider Business Mailing Address
First Line : 382 N 120TH AVE
Second Line :
City : HOLLAND
State : MI
Zip : 49424-2169
Country : US
Telephone Number : 616-396-6516
Fax Number : 616-396-2513
Provider Business Practice Location Address
First Line : 382 N 120TH AVE
Second Line :
City : HOLLAND
State : MI
Zip : 49424-2169
Country : US
Telephone Number : 616-396-6516
Fax Number : 616-396-2513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 12/14/2009

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Directions to “ HILLICHIEN W HOEKMAN MD” Practice Location

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