Individual
DR. MARTIN G HOFFMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2501 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49505-3700
(616) 364-8495
(616) 364-1955
Mailing address
2501 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49505-3700
(616) 364-8495
(616) 364-1955
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3136719
—
MI
01
—
382765698
TAX IDENTIFICATION
—
01
—
480008298
RAILROAD MEDICARE
—
01
—
MH001390
BLUE CROSS OF MI
MI
Enumeration date
12/20/2006
Last updated
08/08/2012
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