Individual
DR. GLENN A HOORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
854 S. WASHINGTON AVENUE, SUITE 430, HOLLAND, MI 49423-7141
(616) 392-6117
(616) 392-1920
Mailing address
854 S. WASHINGTON AVENUE, SUITE 430, HOLLAND, MI 49423-7141
(616) 392-6117
(616) 392-1920
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000884
MI
213ES0131X
Foot Surgery Podiatrist
5901000884
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115198
—
MI
01
—
480000546
ADMINISTAR
MI
01
—
4857005000
BLUECROSSBLUESHIELDMI
MI
01
—
485705000
BLUE CROSS BLUE SHEILD
MI
Enumeration date
12/11/2006
Last updated
02/25/2015
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