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Individual

AMY LYNN HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1309 SHELDON RD, GRAND HAVEN, MI 49417-2404
(866) 898-7139
(616) 975-9824
Mailing address
PO BOX 673755, DETROIT, MI 48267-3755
(866) 898-7139
(616) 975-9824

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02003951A
IN
207P00000X
Emergency Medicine Physician
Primary
5101014274
MI
207P00000X
Emergency Medicine Physician
O2823
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114984984
MI
01
AH014274
BCBS
Enumeration date
07/28/2006
Last updated
04/14/2022
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