Provider Demographics
NPI:1427516160
Name:THOMAS M HOFFMAN, M.D.
Entity type:Organization
Organization Name:THOMAS M HOFFMAN, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-945-3401
Mailing Address - Street 1:225 S M 37 HWY STE 2
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49058-9676
Mailing Address - Country:US
Mailing Address - Phone:269-945-3401
Mailing Address - Fax:269-945-2760
Practice Address - Street 1:225 S M 37 HWY STE 2
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MI
Practice Address - Zip Code:49058-9676
Practice Address - Country:US
Practice Address - Phone:269-945-3401
Practice Address - Fax:269-945-2760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty