Individual
ANDREA BOUWHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 460-8692
Mailing address
2787 S KNIGHTSBRIDGE CIR, ANN ARBOR, MI 48105-9287
(616) 460-8692
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301507463
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301114901
MI
Other
Enumeration date
06/17/2018
Last updated
07/11/2022
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