Individual
DR. AMY G BOLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 643-0451
(906) 643-0461
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-3630
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
5101013135
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009476
MCLAREN HEALTH ADVANTAGE
MI
01
—
1153310564
BCBS/BCN
MI
01
—
200000001266
PHYSICIANS HEALTH PLAN
MI
01
—
36-00041
PHP
MI
01
—
36-70041
PHP FAMILY CARE
MI
01
—
383267121
PPOM
MI
05
—
4530050
—
MI
01
—
7541326
AETNA
MI
01
—
P00122957
RAILROAD MEDICARE
MI
Enumeration date
05/17/2006
Last updated
08/26/2025
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