Individual
NATHANIEL BOBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9793 MYERS LAKE AVE NE, ROCKFORD, MI 49341-9508
(517) 881-9769
Mailing address
9793 MYERS LAKE AVE NE, ROCKFORD, MI 49341-9508
(517) 881-9769
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704348892
MI
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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