Individual
MR. GEORGE FREDERICK BOTHMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 COVERED VLG, BELDING, MI 48809-1683
(616) 794-2200
Mailing address
11073 STREAMSIDE DR NE, ROCKFORD, MI 49341-8604
(616) 866-2450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036700
MI
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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