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Individual

KYLE CHRISTOPHER BOHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11900 E 12 MILE RD, SUITE 110, WARREN, MI 48093-3400
(586) 216-1960
Mailing address
27472 SCHOENHERR RD, 140, WARREN, MI 48088-6688

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301109292
MI
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
4301109292
MI

Other

Enumeration date
04/05/2010
Last updated
01/12/2017
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