IndividualActive
James Hoogeboom, DO
NPI 1164594420 · Surgical Critical Care Physician · Grand Rapids, MI
Provider details
- NPI number
- 1164594420
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- CL0065 (NV)
Practice location
6290 Burton St Se
Grand Rapids, MI 49546-6775
Phone: (616) 975-7768
Fax: (616) 975-7769
Mailing address
6290 Burton St Se
Grand Rapids, MI 49546-6775
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2020-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.