Individual
DR. WILLIAM GLENN BOUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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