Individual
DR. JON D HOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
370 120TH AVE, HOLLAND, MI 49424
(616) 396-5855
(616) 396-5720
Mailing address
370 120TH AVE, HOLLAND, MI 49424-2196
(616) 396-5855
(616) 396-5720
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
JH072024
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
4301072024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3474897
—
MI
01
—
5637634
AETNA
MI
01
—
JH072024
STATE LICENSE
MI
01
—
P94459
BLUE CARE NETWORK
MI
Enumeration date
07/29/2005
Last updated
05/30/2018
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