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Individual

NATHAN BOUWKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C-FNP

Contact information

Practice address
2770 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-8614
(616) 267-8860
(616) 267-8442
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704246189
MI

Other

Enumeration date
12/17/2013
Last updated
11/05/2024
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