Individual
PAYAL BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
Mailing address
3259 TURNBERRY LN, ANN ARBOR, MI 48108-2083
(734) 417-6062
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35.134351
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
4301500398
MI
Other
Enumeration date
05/07/2013
Last updated
07/08/2019
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