Individual
CYNTHIA HINGTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 267-7104
(616) 267-7594
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01047163A
IN
2084N0400X
Neurology Physician
Primary
4301100010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087164
ANTHEM
IN
05
—
1598789034
—
MI
05
—
200272690
—
IN
01
—
P00762163
RAILROAD MEDICARE PTAN
IN
Enumeration date
07/27/2006
Last updated
12/09/2024
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