Individual
ANTHONY J BOUWHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1225 W FRONT ST, TRAVERSE CITY, MI 49684-2368
(231) 947-5701
(231) 947-1370
Mailing address
1225 W FRONT ST, TRAVERSE CITY, MI 49684-2368
(231) 947-5701
(231) 947-1370
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO04089
MI
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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