Individual
WESLEY BOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1113 W SUPERIOR ST, WAYLAND, MI 49348-1228
(616) 252-3400
Mailing address
1113 W SUPERIOR ST, WAYLAND, MI 49348-1228
(616) 252-3400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301512128
MI
2084P0800X
Psychiatry Physician
4351046478
MI
Other
Enumeration date
05/26/2020
Last updated
08/01/2024
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