Individual
DAVID BRUCE HOEKSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
999 WASHINGTON AVE, HOLLAND, MI 49423-7722
(616) 396-5493
(616) 396-0085
Mailing address
1247 OLD LAKE CT SE, GRAND RAPIDS, MI 49546-4352
(269) 945-2176
(269) 945-0885
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704113698
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4308752770
BCBS MICHIGAN
MI
05
—
4313264
—
MI
01
—
QMXPR0028402
MOLINA HEALTHCARE
MI
Enumeration date
08/25/2006
Last updated
07/08/2007
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