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Individual

JAMES WILLIAM HOEKSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 602598, WAKE FOREST UNIVERSITY HEALTH SCIENCES, CHARLOTTE, NC 28260-2598
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200201367
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
132X4
BCBS
NC
05
192559000
WV
01
4350483
AETNA
05
5882583
VA
01
801275
PARTNERS
NC
05
89132X4
NC
01
C1260
MEDCOST
NC
05
Q01367
SC
Enumeration date
11/30/2005
Last updated
09/09/2011
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