Individual
DR. WILLIAM GLENN BOUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1141 HIGH POINT DR. NW, GRAND RAPIDS, MI 49544-7341
(616) 785-8559
Mailing address
1141 HIGH POINT DR. NW, GRAND RAPIDS, MI 45944-7341
(616) 785-8559
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301025391
MI
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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