NPI 1336403823

Mark Allen Hoogerhyde, AAC

Practitioner Anesthesiologist Assistant Grand Rapids, MI

Practice location

Address: 3333 Evergreen Dr NE, Grand Rapids, MI 49525-9493
Phone: (616) 364-4200
Fax: (616) 364-7347

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1336403823
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2012
Record last updated: 21 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.