Individual
DR. DANIEL BOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
300 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4692
(616) 685-6383
(616) 685-3057
Mailing address
12177 MILLPOND DR NW, GRAND RAPIDS, MI 49534-9599
(616) 560-7965
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
5302038930
MI
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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