Individual
MRS. PETRA BOONSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5333 MCAULEY DRIVE, SUITE 2016, YPSILANTI, MI 48197
(734) 434-3200
(734) 712-3358
Mailing address
5333 MCAULEY DRIVE, SUITE 2016, YPSILANTI, MI 48197
(734) 434-3200
(734) 712-3358
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000029
MI
Other
Enumeration date
07/16/2006
Last updated
04/24/2014
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