Individual
ANDREA KAY BOUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1000
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301109713
MI
207P00000X
Emergency Medicine Physician
Primary
4301500332
MI
Other
Enumeration date
03/28/2016
Last updated
09/15/2019
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