Individual
JULIA BOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6741 FULTON ST E, ADA, MI 49301-9502
(616) 320-5330
Mailing address
6741 FULTON ST E, ADA, MI 49301-9502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011461
MI
363AM0700X
Medical Physician Assistant
5601011461
MI
Other
Enumeration date
11/01/2022
Last updated
04/13/2023
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