Individual
MICHAEL KENNETH HOFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2093 HEALTH DR SW STE 200, WYOMING, MI 49519-9691
(616) 459-3158
(616) 819-2222
Mailing address
2128 CHESANING DR SE, GRAND RAPIDS, MI 49506-5311
(616) 581-3606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301510242
MI
208000000X
Pediatrics Physician
4301510242
MI
Other
Enumeration date
04/28/2019
Last updated
10/16/2023
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