Individual
DR. DAVID G BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 PARK ST STE 110, NORTON SHORES, MI 49444-3736
(231) 672-3155
(231) 672-3157
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(866) 611-1512
(231) 727-4451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301046159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4556191
—
MI
Enumeration date
02/27/2006
Last updated
03/20/2018
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