Individual
MAUREEN BODENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007412
MI
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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