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1891794160

NPI Code Detail

MEDICARE: MARTIN FRIEDRICH HOFFMANN MD

MEDICARE: MARTIN FRIEDRICH HOFFMANN 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
1	207Q00000X	Family Medicine Physician	4301045602	MI

Other Identifiers

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

General Provider Information

NPI Number	:	1891794160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN FRIEDRICH HOFFMANN MD

Provider Business Mailing Address
First Line	:	23332 RED ARROW HWY
Second Line	:
City	:	MATTAWAN
State	:	MI
Zip	:	49071-9703
Country	:	US
Telephone Number	:	269-283-5200
Fax Number	:	269-283-5215

Provider Business Practice Location Address
First Line	:	23332 RED ARROW HWY
Second Line	:
City	:	MATTAWAN
State	:	MI
Zip	:	49071-9703
Country	:	US
Telephone Number	:	269-283-5200
Fax Number	:	269-283-5215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	01/30/2015

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Directions to “ MARTIN FRIEDRICH HOFFMANN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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