Individual
ERIC C BOUWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
(616) 685-8500
(616) 685-8075
Mailing address
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503-4920
(616) 685-8400
(616) 742-1322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301057167
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336143965
—
MI
Enumeration date
06/10/2005
Last updated
06/10/2015
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