Individual
TAYLOR HOEKWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSA, AT, ATC, EMT-B
Contact information
Practice address
CENTRAL MICHIGAN UNIVERSITY HEALTH PROFESSIONS OFC 1205, MOUNT PLEASANT, MI 48859-0001
(989) 774-2644
Mailing address
501 S LANSING ST, MOUNT PLEASANT, MI 48858-2632
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
3203054300
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2601001411
MI
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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