Individual
ROBERT HOOGSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, EMERGENCY MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6450
(414) 805-6464
Mailing address
9200 W WISCONSIN AVE, EMERGENCY MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6450
(414) 805-6464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
65880
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301053477
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
65880
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010039469
RAILROAD MEDICARE
MI
05
—
1629171244
—
WI
01
—
RH053477
BCBS
MI
Enumeration date
09/07/2006
Last updated
04/18/2018
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