Michael Kenneth Hofman, | |
2093 Health Dr Sw Ste 200, Wyoming, MI 49519-9691 | |
(616) 459-3158 | |
(616) 819-2222 |
Full Name | Michael Kenneth Hofman |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2093 Health Dr Sw Ste 200, Wyoming, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710541404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301510242 (Michigan) | Secondary |
207R00000X | Internal Medicine | 4301510242 (Michigan) | Primary |
Entity Name | Grand Valley Medical Specialists Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033226402 PECOS PAC ID: 1254311947 Enrollment ID: O20040722001223 |
Mailing Address | Practice Location Address |
---|---|
Michael Kenneth Hofman, 2128 Chesaning Dr Se, Grand Rapids, MI 49506-5311 Ph: (616) 581-3606 | Michael Kenneth Hofman, 2093 Health Dr Sw Ste 200, Wyoming, MI 49519-9691 Ph: (616) 459-3158 |
Mark J Tieszen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
William Marc Katz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Srinivas Reddy Mummadi, MBBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5220 Fax: 616-252-5770 | |
Kurt Koepnick, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 Phone: 616-267-7220 | |
Dr. John Allen Key, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-241-2333 Fax: 616-452-6767 | |
Danielle Light, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
Tandy Champion, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4166 56th St Sw, Wyoming, MI 49418 Phone: 616-249-1850 Fax: 616-532-8657 |