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1942202254

NPI Code Detail

MEDICARE: MARC ALAN HOEKSEMA MD

MEDICARE: MARC ALAN HOEKSEMA 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	208600000X	Surgery Physician	4301079863	MI
2	2086S0102X	Surgical Critical Care Physician	4301079863	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	0204112472	OTHER		BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942202254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC ALAN HOEKSEMA MD

Provider Business Mailing Address
First Line	:	1537 MACKINAW RD SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49506-3347
Country	:	US
Telephone Number	:	616-516-1058
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 COOPER AVE
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-5383
Country	:	US
Telephone Number	:	989-583-4220
Fax Number	:

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	03/14/2021

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Directions to “ MARC ALAN HOEKSEMA 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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