Individual
DAVID BRUCE HOEKSEMA
Active
Individual
DAVID BRUCE HOEKSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
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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