Individual
ANGELA A HOOGTERP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1150 E SHERMAN BLVD, SUITE 2400, MUSKEGON, MI 49444-1871
(231) 672-6336
(231) 672-6335
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101010303
MI
2084P0800X
Psychiatry Physician
5101010303
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2653349394
BCBS OF MI
MI
01
—
N27530089
MEDICARE PTAN
MI
Enumeration date
09/26/2006
Last updated
11/04/2014
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