Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | AH045794 | MI |
Y | 207Q00000X | Family Doctor | 4301045794 | MI |
NPI | 1023022506 |
---|---|
Provider Name | Alan J Hoyer |
First Address | Romeo, MI 48065 |
Second Address | Bruce Twp, MI 48065-1333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 20/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101673443 | (05) | MI |
D91364 | (02) |