Provider Demographics
NPI:1144519299
Name:HOEKZEMA, CRAIG R (MD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:R
Last Name:HOEKZEMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1450 FARR RD
Mailing Address - Street 2:5000
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49444-9770
Mailing Address - Country:US
Mailing Address - Phone:231-739-9095
Mailing Address - Fax:231-722-5147
Practice Address - Street 1:1450 FARR RD
Practice Address - Street 2:5000
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49444-9770
Practice Address - Country:US
Practice Address - Phone:231-739-9095
Practice Address - Fax:231-722-5147
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301108926207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology