Individual
SUZANNE A HOEKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
195 FORE RIVER PKWY, SUITE 250, PORTLAND, ME 04102-2780
(207) 553-6800
(207) 553-6810
Mailing address
195 FORE RIVER PKWY, SUITE 250, PORTLAND, ME 04102-2780
(207) 553-6800
(207) 553-6810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9800276
NC
208600000X
Surgery Physician
Primary
018518
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1146U
BCBS
NC
05
—
891146U
—
NC
Enumeration date
12/06/2005
Last updated
07/06/2010
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