Individual
REBECCA BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2060 EAST PARIS AVE SE STE 150, GRAND RAPIDS, MI 49546-6502
(616) 454-1256
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8521
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301508638
MI
Other
Enumeration date
04/04/2016
Last updated
09/11/2023
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