Individual
MARC ALAN HOEKSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 COOPER AVE, SAGINAW, MI 48602-5383
(989) 583-4220
Mailing address
1537 MACKINAW RD SE, GRAND RAPIDS, MI 49506-3347
(616) 516-1058
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301079863
MI
2086S0102X
Surgical Critical Care Physician
Primary
4301079863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0204112472
BLUE CROSS BLUE SHIELD
—
05
—
4528894
—
MI
05
—
4573030
—
MI
Enumeration date
06/01/2005
Last updated
03/14/2021
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