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Individual

DR. JAMES E HOOGEBOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6290 BURTON ST SE, GRAND RAPIDS, MI 49546-6775
(616) 975-7768
(616) 975-7769
Mailing address
6290 BURTON ST SE, GRAND RAPIDS, MI 49546-6775
(616) 975-7768
(616) 975-7769

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
5101008395
MI
2086S0102X
Surgical Critical Care Physician
CL0065
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3346752
MI
Enumeration date
11/14/2006
Last updated
02/25/2020
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