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NPI Code Detail

MEDICARE: DR. STEPHEN M HOFFMAN D.O.

MEDICARE: DR. STEPHEN M HOFFMAN D.O.
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
1207RG0100XGastroenterology Physician5101005828MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
31000450003OTHERMIRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25633045OTHERMABCBS INDIVIDUAL
4118173OTHERMICARE-PREFERRED CHOICES
5700H217350OTHERMIBLUE SHIELD
6C6998OTHERMIM'CARE
7E26739OTHERMIHAP

General Provider Information

NPI Number : 1346224193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN M HOFFMAN D.O.
Provider Business Mailing Address
First Line : 27301 DEQUINDRE RD
Second Line : SUITE 314
City : MADISON HEIGHTS
State : MI
Zip : 48071-3473
Country : US
Telephone Number : 248-399-4400
Fax Number : 248-399-4840
Provider Business Practice Location Address
First Line : 27301 DEQUINDRE RD
Second Line : SUITE 314
City : MADISON HEIGHTS
State : MI
Zip : 48071-3473
Country : US
Telephone Number : 248-399-4400
Fax Number : 248-399-4840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 02/16/2011

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