Individual
MEREDITH BOSOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 706-7994
Mailing address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 706-7994
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6801107678
MI
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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