Organization
HOLY FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE D BOUCHARD DO (PRESIDENT)
(269) 621-0011
Entity
Organization
Contact information
Practice address
1441 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1370
(269) 621-0011
(269) 621-0011
Mailing address
2 E MAIN ST, HARTFORD, MI 49057-1120
(269) 621-0011
(269) 308-3336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
12/07/2022
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