Doctor Name: | GREGORY L HOEKSTRA |
NPI Number: | 1710091251 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 01585 |
Business Practice Address: | 1015 S Hackett Rd Waterloo, IA - 507013500 |
Business Phone Number: | 3192741000 |
Business Fax Number: | 3192926526 |
Mailing Address: | 1015 S Hackett Rd, WATERLOO |
State: | IA |
Postal Code: | 507013500 |
Phone Number: | 3192741000 |
Fax Number: | 3192926526 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 11/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |