Individual
DR. CHARLES D BUKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 LEFFINGWELL AVE NE, SUITE 100, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170
Mailing address
1111 LEFFINGWELL AVE NE, SUITE 100, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301037351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258113
—
MI
Enumeration date
10/10/2005
Last updated
02/15/2008
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