Provider Demographics
NPI:1518078088
Name:HOCH, DOUGLAS E (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:E
Last Name:HOCH
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 1:1560 E. SHERMAN BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444
Mailing Address - Country:US
Mailing Address - Phone:231-733-8145
Mailing Address - Fax:231-733-5394
Practice Address - Street 1:1560 E. SHERMAN BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444
Practice Address - Country:US
Practice Address - Phone:231-733-8145
Practice Address - Fax:231-733-5394
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIDH040958207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301040958OtherSTATE LICENSE NUMBER
MI1494934Medicaid
MI2906110941OtherBLUE CROSS BLUE SHIELD
MI0610279Medicare ID - Type Unspecified
MI1494934Medicaid